Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Organization Active NPI Multi-Specialty Clinic/Center · Boston, MA
NPI 1679397913 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1679397913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
- Practice address
- 330 Brookline Ave Ste 3
Boston, MA 02215-5400 - Phone
- (617) 667-2906
- NPI assigned
- Nov 13, 2024
- Organization subpart
- No
Authorized official
- Name
- Alexandra Boer Kimball, MD
- Title
- President and Ceo
- Phone
- (617) 632-7443
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 28
Practitioners 681
-
Gyorgy Abel, M.D.
-
Jamie Adler, MD
-
Muneeb Ahmed, M.D.
-
Eloho Ejiro Akpovi, MD, MS, SCM
-
Rae M Allain, MD
-
Elizabeth Lane Alqueza, PA-C
-
Patrick Alvarado, MD
-
Katherine Alwin, NP
-
Amit Narendra Anand, M.D.
-
Roshni Anand, MBBS,MD
-
Jonathan S. Anderson, M.D.
-
Paul Timothy Appleton, M.D.
-
Joseph A Aronovitz, M.D.
-
Matthew Ascione, RN
-
Bulent Aslan, MD
-
Katharyn M Atkins, M.D.
-
Naila Azhar, M.D.
-
Padmapriya Badri, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000918 | MA | Part B Supplier - Clinic/Group Practice | 4486567104 |
Receives reassigned benefits from 2,545 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce
Locations
109 Brookline Ave
Boston, MA 02215
1 Deaconess Rd
#111W
Boston, MA 02215
110 Francis St
Ste B
Boston, MA 02215
Phone (617) 632-7246
330 Brookline Ave
Ste 3
Boston, MA 02215
Phone (617) 667-2906
330 Brookline Ave
Ste FN202
Boston, MA 02215
330 Brookline Ave
#407
Boston, MA 02215
330 Brookline Ave
#301A
Boston, MA 02215
110 Francis St
Ste 313
Boston, MA 02215
330 Brookline Ave
Ste 407A
Boston, MA 02215
1 Jimmy Fund Way
Ste Wcc
Boston, MA 02115
1135 Tremont St
Fl 6
Roxbury Crossing, MA 02120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
330 Brookline Ave Ste 3
Boston, MA 02215-5400
Mailing address
375 Longwood Ave Ste 3
Boston, MA 02215-5395
Phone (781) 632-7443
Other names
- Harvard Medical Faculty Physicians
Other providers in Boston, MA
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
All providers in Boston, MA · Multi-Specialty Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.