NPIMap

Individual provider Active NPI

Matthew Boland Yurgelun, M.D.

  • Medical Oncology Physician
  • Boston, MA
National Provider Identifier
1134386014
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
240447 Issued in MA
Practice address
450 Brookline Ave
D1220
Boston, MA 02215-5418
Phone
(617) 632-6835
NPI assigned
May 19, 2008
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 228199 MA
Medical Oncology Physician 207RX0202X 240447 MA Primary

Addresses

Primary practice location

450 Brookline Ave
D1220
Boston, MA 02215-5418

Mailing address

450 Brookline Ave
D1220
Boston, MA 02215-5418
Phone (617) 632-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120717000116 MA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7517123763 Reassigns benefits to 2 organizations
I20230523000966 NH Practitioner - Medical Oncology 7517123763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

40 Butrrick Rd
Londonderry, NH 03053-3381
Phone (877) 332-4645

450 Brookline Ave
Boston, MA 02215-5418

450 Brookline Ave
Boston, MA 02215-5450

5 Branch St
FL 3
Methuen, MA 01844-1964
Phone (617) 632-3586

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-2903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228199MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince Jul 1, 2012 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

450 Brookline Ave
#204
Boston, MA 02215
Phone (617) 632-3252

450 Brookline Ave
#D1220
Boston, MA 02215
Phone (617) 632-4150

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

Interoperability endpoints

  • Direct secure messaging: yurgelun.matthew.dfci@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1134386014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "D1220",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "D1220",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURGELUN",
        "first_name": "MATTHEW",
        "middle_name": "BOLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "228199",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "240447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.