Active NPI
Jason Kerzer, DO
- Family Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1015685
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 724-6610
- NPI assigned
- May 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO00880 | RI | |
| Family Medicine Physician | 207Q00000X | 1015685 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
2701 Dekalb Pike
Norristown, PA 19401-1820
Other practice location 1
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other practice location 2
1500 Pontiac Ave Ste 101
Cranston, RI 02920-4486
Phone (401) 944-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015685 | MA | MD | Family Medicine Physician |
| DO00880 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Prospect Chartercare Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
50 Staniford St
Fl 9
Boston, MA 02114
Phone (617) 724-6610
55 Fruit St
Boston, MA 02114
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
825 Chalkstone Ave
Ofc
Providence, RI 02908
Phone (401) 456-2525
501 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 606-2680
Interoperability endpoints
- kerzer.jason.mgh@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 and National Provider Directory roles.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
Family Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Family Medicine
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1497165880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 DEKALB PIKE",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-6610"
}
],
"practiceLocations": [
{
"address_1": "117 Ellenfield St Ste 101",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029054541",
"country_code": "US",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Pontiac Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029204486",
"country_code": "US",
"telephone_number": "401-944-4300",
"fax_number": "401-464-4071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERZER",
"first_name": "JASON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "DO00880",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "1015685",
"primary": true
}
],
"identifiers": [],
"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 Oct 29, 2024; 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.