Active NPI
Andrew Dean Alex Marshall, M.D.
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 274195
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 274195 | MA | MD | Emergency Medicine Physician |
Practice roles
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
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Emergency Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Emergency Medicine
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.