Individual provider Active NPI

Jonathan Scott Coblyn, MD

  • Rheumatology Physician
  • Boston, MA
National Provider Identifier
1447200969
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
41304 Issued in MA
Practice address
75 Francis Street PBB B3
Brigham and Women'S Hospital Dept of Rheumatology Immun
Boston, MA 02115
Phone
(617) 732-5347
Fax
(617) 582-6151
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 41304 MA Primary

Addresses

Primary practice location

75 Francis Street PBB B3
Brigham and Women'S Hospital Dept of Rheumatology Immun
Boston, MA 02115

Mailing address

75 Francis Street PBB B3
Brigham and Women'S Hospital Dept of Rheumatology Immun
Boston, MA 02115
Phone (617) 732-5347

Other identifiers 1

IdentifierTypeStateIssuer
2069032MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Coblyn.Jonathan.BWH@direct.partners.masshiway.net Health Information Exchange (HIE)

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
I20050627000938 MA Practitioner - Rheumatology 1456322841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Johns Hopkins University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients

Locations

75 Francis St
Boston, MA 02115

75 Francis St
#B3
Boston, MA 02115
Phone (617) 732-5347

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

83 Speen St
Natick, MA 01760
Phone (508) 907-6543

Interoperability endpoints

  • Direct secure messaging: coblyn.jonathan.bwh@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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1447200969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET PBB B3",
            "address_2": "BRIGHAM AND WOMEN'S HOSPITAL DEPT OF RHEUMATOLOGY IMMUN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS STREET PBB B3",
            "address_2": "BRIGHAM AND WOMEN'S HOSPITAL DEPT OF RHEUMATOLOGY IMMUN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-5347",
            "fax_number": "617-582-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLYN",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "41304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069032",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Coblyn.Jonathan.BWH@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "75 Francis Street PBB B3",
            "address_2": "Brigham and Women's Hospital Dept of Rheumatology Immun",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.