NPIMap

Individual provider Active NPI

Jonathan Parks, M.D.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1598027484
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
279895 Issued in MA
Practice address
165 Cambridge St Ste 810
Boston, MA 02114-2747
Phone
(617) 726-9591
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 279895 MA
Trauma Surgery Physician 2086S0127X 279895 MA
Surgery Physician 208600000X 279895 MA Primary

Addresses

Primary practice location

165 Cambridge St Ste 810
Boston, MA 02114-2747

Mailing address

55 Fruit St # 5-506
Boston, MA 02114-2696
Phone (617) 643-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190912000420 MA Practitioner - General Surgery 2567791874 Reassigns benefits to 4 organizations
I20220317001741 NH Practitioner - General Surgery 2567791874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279895MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Jan 3, 2025 Accepting new patients
The General Hospital Corporation CurrentSince Sep 1, 2019 Accepting new patients
Martha'S Vineyard Hospital, Inc. CurrentSince Jan 3, 2025 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 4, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 4, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc Surgery CurrentSince Sep 1, 2019 Accepting new patients
Martha'S Vineyard Hospital, Inc. Past Accepting new patients
Martha'S Vineyard Hospital Surgery Past Accepting new patients

Locations

165 Cambridge St
Ste 810
Boston, MA 02114
Phone (617) 643-2439

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

55 Fruit St
Boston, MA 02114

55 Fruit St
#5506
Boston, MA 02114
Phone (617) 243-6113

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

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

801 Central Ave
Ste 1
Dover, NH 03820
Phone (603) 740-9713

Interoperability endpoints

  • Direct secure messaging: parks.jonathan.mgh@direct.partners.masshiway.net

Organizations & group practices 10

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 5

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1598027484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST # 5-506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST STE 810",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142747",
            "telephone_number": "617-726-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "279895",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MA",
            "license": "279895",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "279895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.