Individual provider Active NPI

Caleb Richard Schatz McEntire, MD

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1568957595
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
279643 Issued in MA
Practice address
60 Fenwood Rd BLDG
Hale Building, Neurosciences Center
Boston, MA 02115-6128
Phone
(617) 732-7432
Fax
(409) 217-3068
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT216769 PA
Neurology Physician 2084N0400X 279643 MA Primary

Addresses

Primary practice location

60 Fenwood Rd BLDG
Hale Building, Neurosciences Center
Boston, MA 02115-6128

Mailing address

60 Fenwood Rd BLDG
Hale Building, Neurosciences Center
Boston, MA 02115-6128
Phone (617) 732-7432

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918000073 MA Practitioner - Neurology 9032458476 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Columbia University College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

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

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT216769PAMDInternal Medicine Physician
279643MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Martha'S Vineyard Hospital, Inc. Internal Medicine Current Accepting new patients
General Hospital Corp Current Accepting new patients
Martha'S Vineyard Hospital, Inc. Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Sep 5, 2023 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

60 Fenwood Rd
Bldg Neurosciences
Boston, MA 02115
Phone (617) 732-7432

55 Fruit St
Boston, MA 02114

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

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

52 Second Ave
Ste 2500
Waltham, MA 02451
Phone (781) 487-2200

Interoperability endpoints

  • Direct secure messaging: mcentire.caleb.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.

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1568957595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FENWOOD RD BLDG",
            "address_2": "HALE BUILDING, NEUROSCIENCES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156128",
            "telephone_number": "617-732-7432",
            "fax_number": "409-217-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FENWOOD RD BLDG",
            "address_2": "HALE BUILDING, NEUROSCIENCES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156128",
            "telephone_number": "617-732-7432",
            "fax_number": "409-217-3068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCENTIRE",
        "first_name": "CALEB",
        "middle_name": "RICHARD SCHATZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT216769",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "279643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.