NPIMap

Individual provider Active NPI

John L Niles, MD

  • Nephrology Physician
  • Boston, MA
National Provider Identifier
1316912033
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
54243 Issued in MA
Practice address
101 Merrimac St
1St Floor
Boston, MA 02114-4724
Phone
(617) 726-4132
Fax
(617) 726-4213
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 54243 MA
Nephrology Physician 207RN0300X 54243 MA Primary

Addresses

Primary practice location

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

Mailing address

101 Merrimac St
1St Floor, Suite 7
Boston, MA 02114-4724
Phone (617) 726-4132

Other identifiers 3

IdentifierTypeStateIssuer
J07173OtherMABCBS MA
724621OtherMATUFTS HEALTH PLAN
110045431/AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000717 MA Practitioner - NephrologyPractitioner - Internal Medicine 2365430063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John L Niles MD PLLCGroup PAC ID 2567786197, 5 clinicians

Practice addresses (Care Compare)

101 Merrimac St
FL 1
Boston, MA 02114-4724
Phone (617) 726-4132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54243MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Dec 15, 2011 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Dec 10, 1987 Accepting new patients
John L. Niles MD, PLLC CurrentSince Nov 13, 2014 Accepting new patients

Locations

101 Merrimac St
Ste 1
Boston, MA 02114
Phone (617) 726-4132

55 Fruit St
Boston, MA 02114

101 Merrimac St
Fl 1
Boston, MA 02114
Phone (617) 726-4132

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

101 Merrimac St
#1
Boston, MA 02114
Phone (617) 726-4132

151 Merrimac St
#3
Boston, MA 02114
Phone (617) 726-1108

Interoperability endpoints

  • Direct secure messaging: niles.john.mgh@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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1316912033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MERRIMAC ST",
            "address_2": "1ST FLOOR, SUITE 7",
            "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": {
        "last_name": "NILES",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "54243",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "54243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J07173",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "724621",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110045431/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.