NPIMap

Individual provider Active NPI

David M Jackman, M.D.

  • Medical Oncology Physician
  • Boston, MA
National Provider Identifier
1386622413
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
221928 Issued in MA
Practice address
44 Binney St
Dana-Farber Cancer Institute, Room 1234C
Boston, MA 02115-6013
Phone
(617) 632-6646
Fax
(617) 632-5786
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 221928 MA Primary

Addresses

Primary practice location

44 Binney St
Dana-Farber Cancer Institute, Room 1234C
Boston, MA 02115-6013

Mailing address

100 Rosemary Way
Apt. # 133
Needham, MA 02494-1210
Phone (617) 632-6646

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
I20040830000086 MA Practitioner - Medical OncologyPractitioner - Internal Medicine 1658346184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

300 Boylston St
Suite 301
Chestnut Hill, MA 02467-1979
Phone (617) 632-3000

450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince Jul 1, 2004 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2004 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2004 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Feb 15, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients

Locations

44 Binney St
Rm 1234C
Boston, MA 02115
Phone (617) 632-6646

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

75 Francis St
Boston, MA 02115

300 Boylston St
Chestnut Hill, MA 02467
Phone (617) 449-9750

300 Boylston St
Ste 301
Chestnut Hill, MA 02467

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

40 Buttrick Rd
Londonderry, NH 03053
Phone (603) 552-1400

Interoperability endpoints

  • Direct secure messaging: jackman.david.dfci@direct.partners.masshiway.net

Organizations & group practices 7

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 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1386622413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSEMARY WAY",
            "address_2": "APT. # 133",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941210",
            "telephone_number": "617-632-6646",
            "fax_number": "617-632-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY ST",
            "address_2": "DANA-FARBER CANCER INSTITUTE, ROOM 1234C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156013",
            "telephone_number": "617-632-6646",
            "fax_number": "617-632-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "221928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.