NPIMap

Individual provider Active NPI

Jin Byung Byung Chae, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1477713121
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235359 Issued in MA
Practice address
70 Fulton St
Boston, MA 02109-1402
Phone
(617) 876-4344
NPI assigned
Jun 16, 2008
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 235359 MA Primary

Addresses

Primary practice location

70 Fulton St
Boston, MA 02109-1402

Mailing address

19 Hancock St
Lexington, MA 02420-3443
Phone (781) 879-9917

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
I20081212000022 MA Practitioner - Internal Medicine 4688735483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

70 Fulton St
Boston, MA 02109-1402
Phone (617) 876-4344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235359MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Aug 15, 2016 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Chae Internal Medicine LLC Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Aug 15, 2016 Accepting new patients
Spaulding Hospital-Cambridge, Inc. Past Accepting new patients
Neb Operator LLC Past Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

70 Fulton St
Boston, MA 02109
Phone (617) 726-9700

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: chae.jin.srb@direct.partners.masshiway.net

Organizations & group practices 8

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.

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1477713121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HANCOCK ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203443",
            "telephone_number": "781-879-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091402",
            "telephone_number": "617-876-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "JIN BYUNG",
        "middle_name": "BYUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "235359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.