Individual provider Active NPI

Marc Isaac Blatt, MD MBA

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1689255994
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1021450 Issued in MA
Practice address
1 Deaconess Rd
Boston, MA 02215-5321
Phone
(617) 754-2400
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1021450 MA Primary

Addresses

Primary practice location

1 Deaconess Rd
Boston, MA 02215-5321

Mailing address

One Deaconess Road
Rosenberg 2
Boston, MA 02215
Phone (617) 667-7000

Other practice location 1

148 Chestnut St
Needham, MA 02492-2523
Phone (781) 453-5400

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
I20250804002673 MA Practitioner - Emergency Medicine 7214445980 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Vanderbilt University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncGroup PAC ID 4486567104, shared by 12 NPIs, 1,693 clinicians
Bid-Milton Physician Associates IncGroup PAC ID 7416375399, 54 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 453-3000

100 Highland St
Milton, MA 02186-3881
Phone (617) 615-4000

100 Walter J Hannon Pkwy
Suite 143
Quincy, MA 02169-1105
Phone (617) 615-4000

101 Page St
New Bedford, MA 02740-3464
Phone (508) 679-3131

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1021450MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jun 24, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Jun 24, 2025 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Dec 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 1, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jun 24, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Current Accepting new patients

Locations

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

1 Deaconess Rd
#2
Boston, MA 02215
Phone (617) 754-2323

1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

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

148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000

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

480 Pleasant St
Watertown, MA 02472
Phone (617) 272-9045

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

Interoperability endpoints

  • Direct secure messaging: mblatt80759@direct.southcoast.org

Organizations & group practices 8

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1689255994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE DEACONESS ROAD",
            "address_2": "ROSENBERG 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEACONESS RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155321",
            "telephone_number": "617-754-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Needham",
            "state": "MA",
            "postal_code": "024922523",
            "country_code": "US",
            "telephone_number": "781-453-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLATT",
        "first_name": "MARC",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1021450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.