Active NPI
Joel M Henderson, MD
- Anatomic Pathology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 219886
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5491 - Phone
- (617) 667-4344
- NPI assigned
- Aug 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 219886 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5491
Mailing address
330 Brookline Ave
Boston, MA 02215-5491
Other practice location 1
670 Albany Street
Suite 304
Boston, MA 02118-2518
Phone (617) 414-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077060 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Ohio State University College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219886 | MA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Boston University Mallory Pathology Associates, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Past | Accepting new patients |
Locations
670 Albany St
Ste 304
Boston, MA 02118
Phone (617) 414-4291
670 Albany St
Ste 3
Boston, MA 02118
Phone (617) 414-4291
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- jhenderson10566@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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
- NPI 1457308637
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Radiology - HMFP at BIDMC
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1437165958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155491",
"telephone_number": "617-667-4344"
}
],
"practiceLocations": [
{
"address_1": "670 Albany Street",
"address_2": "Suite 304",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182518",
"country_code": "US",
"telephone_number": "617-414-7063",
"fax_number": "617-414-5315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "JOEL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "219886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2077060",
"state": "MA"
}
],
"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 Jun 30, 2026; 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.