Active NPI
John T Schulz III, M.D.
- Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 154933
- Practice address
- 55 Fruit Street
GRB 1300
Boston, MA 02114-2696 - Phone
- (617) 726-3712
- Fax
- (617) 726-4127
- NPI assigned
- Mar 22, 2006
- Last updated
- Feb 14, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 043880 | CT | |
| Trauma Surgery Physician | 2086S0127X | 043880 | CT | |
| Trauma Surgery Physician | 2086S0127X | 267445 | NY | |
| Surgery Physician | 208600000X | 154933 | MA | Primary |
Addresses
Primary practice location
55 Fruit Street
GRB 1300
Boston, MA 02114-2696
Mailing address
55 Fruit Street
GRB 1300
Boston, MA 02114-2696
Phone (617) 726-3712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001438804 | Medicaid | CT | |
| 03688731 | Medicaid | NY |
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
- General Surgery
- Education
- Yale University School of Medicine, 1991
- 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
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154933 | MA | MD | Surgery Physician |
| 043880 | CT | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Past | Accepting new patients |
Locations
51 Blossom St
Boston, MA 02114
Phone (617) 371-4762
55 Fruit St
Boston, MA 02114
55 Fruit St
#1300
Boston, MA 02114
Phone (617) 726-3712
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- schulz.john.mgh@direct.partners.masshiway.net
Organizations & group practices 6
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Children's Hospital
- Boston, MA
- NPI 1114053782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Partners Healthcare At Home - Home Care
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1558320085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT STREET",
"address_2": "GRB 1300",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-3712",
"fax_number": "617-726-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT STREET",
"address_2": "GRB 1300",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-3712",
"fax_number": "617-726-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "JOHN",
"middle_name": "T",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "043880",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CT",
"license": "043880",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "267445",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "154933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001438804",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03688731",
"state": "NY"
}
],
"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 Feb 14, 2020; 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.