John L. Niles MD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

54243 Issued in MA

Legal business name

JOHN L. NILES MD, PLLC

Practice address

101 Merrimac St
1St Floor
Boston, MA 02114-4724

Phone

(617) 726-4132

Fax

(617) 726-4213

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John L Niles, M.D.NPI 1316912033

Title

Owner

Phone

(617) 726-4132

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Niles, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1316912033
  Medicare reassignment Care Compare group NPD Authorized official
• Ayman Al Jurdi, M.D.

  • Nephrology Physician
  • Boston, MA
  • NPI 1043690332
  Medicare reassignment Care Compare group NPD
• Harish Shanthanu Seethapathy

  • Nephrology Physician
  • Boston, MA
  • NPI 1013320209
  Medicare reassignment Care Compare group NPD
• Orhan Efe, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1699122663
  Medicare reassignment Care Compare group
• Anushya Jeyabalan, M.D.

  • Nephrology Physician
  • La Jolla, CA
  • NPI 1083053722

  MA

  Medicare reassignment Care Compare group
• Ashima Chadha, MD

  • Nephrology Physician
  • Boston, MA
  • NPI 1013595461
  NPD

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1144656364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MERRIMAC ST",
            "address_2": "1ST FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144724",
            "telephone_number": "617-726-4132",
            "fax_number": "617-726-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MERRIMAC ST",
            "address_2": "1ST FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144724",
            "telephone_number": "617-726-4132",
            "fax_number": "617-726-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. NILES MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-726-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "54243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA399963",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hadine Joffe, MD MSC
• Christine Jennifer Johannes, MD
• Claire Lucy Johannes, NP
• John E Canesi DMD PC
• John F. Kennedy Family Services Center, Inc.
• John M. Siliski, M.D., P.C.
• Prisca John-Ogam
• Alvin John, MD
• Janice N. John, PA
• Jenine John, M.D.

• Medical Specialty Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.