Individual provider Active NPI

Thomas J Schuch, M.D., M.P.H.

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1649430323
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
235979 Issued in MA
Practice address
409 W Broadway
South Boston Community Health Center
Boston, MA 02127
Phone
(617) 269-7500
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 235979 MA Primary

Addresses

Primary practice location

409 W Broadway
South Boston Community Health Center
Boston, MA 02127

Mailing address

409 W Broadway
South Boston Community Health Center
Boston, MA 02127
Phone (617) 269-7500

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
I20210827001872 MA Practitioner - Pediatric Medicine 1658776745 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince Aug 20, 2021 Accepting new patients

Locations

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Interoperability endpoints

  • Direct secure messaging: tschuch161019@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1649430323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "address_2": "SOUTH BOSTON COMMUNITY HEALTH CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02127",
            "telephone_number": "617-269-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "address_2": "SOUTH BOSTON COMMUNITY HEALTH CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02127",
            "telephone_number": "617-269-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCH",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "235979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.