Individual provider Active NPI

Andrew Dean Alex Marshall, M.D.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1609257609
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
274195 Issued in MA
Practice address
1 Deaconess Rd FL 2
Boston, MA 02215-5321
Phone
(617) 754-2320
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 274195 MA Primary
Emergency Medicine Physician 207P00000X 125066914 IL

Addresses

Primary practice location

1 Deaconess Rd FL 2
Boston, MA 02215-5321

Mailing address

1 Deaconess Rd FL 2
Boston, MA 02215-5321
Phone (617) 754-2400

Other practice location 1

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Other practice location 2

10 Gove St
Boston, MA 02128-1920
Phone (617) 569-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180727000455 MA Practitioner - Emergency Medicine 2668775545 Reassigns benefits to 9 organizations
I20211217000218 TN Practitioner - Emergency Medicine 2668775545

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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
274195MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 14, 2018 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Jun 14, 2018 Accepting new patients
The General Hospital Corporation CurrentSince Apr 13, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Apr 13, 2020 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Neighborhealth Corporation CurrentSince Nov 21, 2018 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Nov 21, 2018 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jun 14, 2018 Accepting new patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 14, 2018 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jun 14, 2018 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

1 Deaconess Rd
Fl 2
Boston, MA 02215
Phone (617) 754-2320

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

75 Francis St
Boston, MA 02115

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

Interoperability endpoints

  • Direct secure messaging: marshall.andrew.bwh@direct.partners.masshiway.net

Organizations & group practices 12

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 4

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1609257609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEACONESS RD FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155321",
            "telephone_number": "617-754-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEACONESS RD FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155321",
            "telephone_number": "617-754-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021281920",
            "country_code": "US",
            "telephone_number": "617-569-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ANDREW",
        "middle_name": "DEAN ALEX",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "274195",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125066914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.