NPIMap

Individual provider Active NPI

Jeffrey Clegg, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1154853133
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1015579 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6106
Phone
(617) 732-5500
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization Inc 3,494 clinicians
Brigham and Womens Physicians Organization Inc 2,931 clinicians
Cooley Dickinson Hospital Inc 32 clinicians

Practice addresses (Care Compare)

Boston, MA 02114-2126
Phone (617) 643-0003

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

12 College Hwy
Southampton, MA 01073-9406
Phone (413) 527-1105

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

67 Corporate Dr
Portsmouth, NH 03801-2847

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

850 Boylston St
Chestnut Hill, MA 02467-2477
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230512001659 MA Practitioner - Diagnostic Radiology 6507117454 Reassigns benefits to 6 organizations
I20230731003288 NH Practitioner - Diagnostic Radiology 6507117454 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 29, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2023 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
General Hospital Corp Current Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2023 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jul 29, 2023 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: clegg.jeffrey.mgh@direct.partners.masshiway.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1015579 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

3027 Central St SE
Olympia, WA 98501-3627
Phone (360) 701-6994

Other practice location 1

3400 Spruce St Ste 130
Philadelphia, PA 19104-4238
Phone (215) 662-3957

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2023.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1154853133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 CENTRAL ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013627",
            "telephone_number": "360-701-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156106",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1015579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.