NPIMap

Individual provider Active NPI

Joycelyn A Datu, MD

  • Internal Medicine Physician
  • Cambridge, MA
National Provider Identifier
1568421279
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81128 Issued in MA
Practice address
725 Concord Ave
Belmont Medical Associates
Cambridge, MA 02138-1040
Phone
(617) 864-8822
Fax
(617) 864-0099
NPI assigned
Mar 21, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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 81128 MA Primary

Addresses

Primary practice location

725 Concord Ave
Belmont Medical Associates
Cambridge, MA 02138-1040

Mailing address

725 Concord Ave
Belmont Medical Associates
Cambridge, MA 02138-1040
Phone (617) 864-8822

Other identifiers 6

IdentifierTypeStateIssuer
715734OtherMATUFTS
042596628OtherMAHCVM
3149455MedicaidMA
M12605OtherMABCBS
042596628OtherMAPHCS
AA17883OtherMAHARVARD PILGRIM

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
I20040804001061 MA Practitioner - Internal Medicine 5698746451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5 Industrial Dr
Mashpee, MA 02649-3464
Phone (774) 552-3210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Sep 1, 2016 Accepting new patients

Locations

1180 Beacon St
Ste 8C
Brookline, MA 02446
Phone (617) 277-5075

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

5 Industrial Dr
Mashpee, MA 02649
Phone (508) 477-4282

5 Industrial Dr
Ste 205
Mashpee, MA 02649
Phone (774) 238-2639

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

495 Station Ave
South Yarmouth, MA 02664
Phone (508) 957-7400

Interoperability endpoints

  • Direct secure messaging: jdatu14962@direct.capecodhealthcare.masshiway.net

Organizations & group practices 5

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 9

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1568421279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "BELMONT MEDICAL ASSOCIATES",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-8822",
            "fax_number": "617-864-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "BELMONT MEDICAL ASSOCIATES",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-8822",
            "fax_number": "617-864-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATU",
        "first_name": "JOYCELYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "715734",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCVM",
            "identifier": "042596628",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149455",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M12605",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "042596628",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA17883",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.