Active NPI
James Matthew Koomey, M.D.
- Medical Oncology Physician
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 155230
- Practice address
- 275 Sandwich St
C/O Cathy Grey
Plymouth, MA 02360-2183 - Phone
- (508) 830-2390
- Fax
- (508) 830-2399
- NPI assigned
- Jan 3, 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 155230 | MA | Primary |
Addresses
Primary practice location
275 Sandwich St
C/O Cathy Grey
Plymouth, MA 02360-2183
Mailing address
275 Sandwich St
C/O Cathy Grey
Plymouth, MA 02360-2183
Phone (508) 830-2390
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3178391 | Medicaid | MA | |
| J19174 | Other | MA | BCBSMA |
| 14734 | Other | MA | HARVARD PILGRIM |
| 779429 | Other | MA | TUFTS HEALTH PLAN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111214000430 | MA | Practitioner - Hematology/Oncology | 0749455160 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jordan Physician Associates Inc
Practice addresses (Care Compare)
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920
Hospital & facility affiliations
- Cranberry Hospice
- Beth Israel Deaconess Hospital Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients |
Locations
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
Interoperability endpoints
- jkoomey251983@direct.bilh.masshiway.net
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Plymouth, MA
- NPI 1164535084
Hospice
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1477531358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"address_2": "C/O CATHY GREY",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602183",
"telephone_number": "508-830-2390",
"fax_number": "508-830-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"address_2": "C/O CATHY GREY",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602183",
"telephone_number": "508-830-2390",
"fax_number": "508-830-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOMEY",
"first_name": "JAMES",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "155230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3178391",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J19174",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "14734",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "779429",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.