Active NPI
John Triedman, MD
- Clinical Cardiac Electrophysiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 70701
- Practice address
- 300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (617) 355-2793
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 70701 | MA | |
| Pediatric Cardiology Physician | 2080P0202X | 70701 | MA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 70701 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
PO Box 9135
Brookline, MA 02446-9135
Phone (603) 893-9784
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103111 | Medicaid | MA | |
| JT03707 | Medicaid | RI | |
| MD12260 | Other | RI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Harvard Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Childrens Hospital Boston | Past | Accepting new patients |
Locations
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
Interoperability endpoints
- jtriedman25831@direct.bostonchildrens.org
Organizations & group practices 5
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.
-
- Pediatric Cardiology Physician
- Boston, MA
- NPI 1982680922
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Children's Hospital
- Boston, MA
- NPI 1770741530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Boston, MA
- NPI 1710087127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1225009632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9135",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469135",
"telephone_number": "603-893-9784",
"fax_number": "603-890-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEDMAN",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "70701",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MA",
"license": "70701",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MA",
"license": "70701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103111",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JT03707",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD12260",
"state": "RI"
}
],
"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 Oct 2, 2020; 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.
- 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.