Individual provider Active NPI

Michal Filip Tomczak, M. D.

  • Gastroenterology Physician
  • Jamaica Plain, MA
National Provider Identifier
1295909661
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
242228 Issued in MA
Practice address
10 Goodrich Rd # 1
Jamaica Plain, MA 02130-2005
Phone
(617) 522-3585
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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 229501 MA
Gastroenterology Physician 207RG0100X 242228 MA Primary

Addresses

Primary practice location

10 Goodrich Rd # 1
Jamaica Plain, MA 02130-2005

Mailing address

10 Goodrich Rd # 1
Jamaica Plain, MA 02130-2005
Phone (617) 522-3585

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
I20110826000184 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 0244400489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

142 Berkeley St
Boston, MA 02116-5100
Phone (617) 859-5000

90 Libbey Industrial Pkwy
Suite 201
Weymouth, MA 02189-3157
Phone (781) 682-0606

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229501MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 14, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 14, 2011 Accepting new patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
Needham Gastroenterology Associates PC Gastroenterology CurrentSince Sep 6, 2016 Accepting new patients
Atrius Health, Inc. Internal Medicine Past Accepting new patients

Locations

77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

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

464 Hillside Ave
Ste 201
Needham Heights, MA 02494
Phone (781) 444-6460

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

90 Libbey Park
Ste 201
Weymouth, MA 02189
Phone (781) 331-1212

Interoperability endpoints

  • Direct secure messaging: mtomczak166942@direct.bilh.masshiway.net
  • Direct secure messaging: mtomczak201047@direct.atrius.masshiway.net

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.

Hospital & facility affiliations 1

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1295909661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOODRICH RD # 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302005",
            "telephone_number": "617-522-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOODRICH RD # 1",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302005",
            "telephone_number": "617-522-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "MICHAL",
        "middle_name": "FILIP",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229501",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "242228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.