Individual provider Active NPI

Jo Ellen M Altschaefl, MD

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1437115672
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
55198 Issued in MA
Practice address
75 Francis Street
Brigham and Womens Hospital Department of Newborn Med
Boston, MA 02115
Phone
(617) 732-7739
NPI assigned
Apr 25, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 55198 MA Primary

Addresses

Primary practice location

75 Francis Street
Brigham and Womens Hospital Department of Newborn Med
Boston, MA 02115

Mailing address

75 Francis Street
Brigham and Womens Hospital Department of Newborn Med
Boston, MA 02115
Phone (617) 732-7739

Other practice location 1

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4363

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
I20050421001083 MA Practitioner - Pediatric Medicine 7618915406 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

Interoperability endpoints

  • Direct secure messaging: altschaefl.joellen.bwh@direct.partners.masshiway.net
  • Direct secure messaging: jaltschaefl178737@direct.bmc.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1437115672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET",
            "address_2": "BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF NEWBORN MED",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET",
            "address_2": "BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF NEWBORN MED",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184001",
            "country_code": "US",
            "telephone_number": "617-414-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTSCHAEFL",
        "first_name": "JO ELLEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "55198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.