Active NPI
Josue Bryant Estrella, MD
- Student in an Organized Health Care Education/Training Program
- Boston, MA
National Provider Identifier
1093417677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 72 East Concord Street
Boston Medical Center, Surgery Education Office
Boston, MA 02118 - Phone
- (617) 638-8442
- Fax
- (617) 638-8409
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
72 East Concord Street
Boston Medical Center, Surgery Education Office
Boston, MA 02118
Mailing address
72 East Concord Street
Boston Medical Center, Surgery Education Office
Boston, MA 02118
Phone (617) 638-8442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803000733 | MA | Order and Referring Only - General Surgery | 7416318738 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Interoperability endpoints
- jestrella235812@direct.bmc.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1093417677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 EAST CONCORD STREET",
"address_2": "BOSTON MEDICAL CENTER, SURGERY EDUCATION OFFICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8442",
"fax_number": "617-638-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 EAST CONCORD STREET",
"address_2": "BOSTON MEDICAL CENTER, SURGERY EDUCATION OFFICE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8442",
"fax_number": "617-638-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRELLA",
"first_name": "JOSUE",
"middle_name": "BRYANT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.