Individual provider Active NPI

James M Stephen, M.D

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1114940442
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
55722 Issued in MA
Practice address
750 Washington St # 311
Boston, MA 02111-1526
Phone
(617) 636-4720
Fax
(617) 636-4723
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 55722 MA Primary

Addresses

Primary practice location

750 Washington St # 311
Boston, MA 02111-1526

Mailing address

Tufts Medical Center Dept of Emergency Medicine
750 Washington St Box 311
Boston, MA 02111-0311
Phone (617) 636-4720

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411001004 MA Practitioner - Emergency Medicine 6305883448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
Quality
82.53
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55722MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center Ep LLC Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 18, 2011 Accepting new patients
Coastal Medical Associates Past Accepting new patients
Georgia Emergency Department Services, P.C. Emergency Medicine PastSince Aug 6, 2019 Accepting new patients
Nemc Emergency Associates PC Emergency Medicine Past Accepting new patients
Steward Medical Group, Inc. Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

70 East St
Methuen, MA 01844
Phone (978) 682-1906

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: jstephen29603@tuftsmedicine.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1114940442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TUFTS MEDICAL CENTER DEPT OF EMERGENCY MEDICINE",
            "address_2": "750 WASHINGTON ST BOX 311",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021110311",
            "telephone_number": "617-636-4720",
            "fax_number": "617-636-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST # 311",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-4720",
            "fax_number": "617-636-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "55722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.