Individual provider Active NPI

Johanna Margaret Seddon, MD

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1699753681
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38282 Issued in MA
Practice address
10 Hawthorne PL Ste 106
Boston, MA 02114-2336
Phone
(617) 523-0955
Fax
(617) 523-5376
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 38282 MA Primary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 38282 MA

Addresses

Primary practice location

10 Hawthorne PL Ste 106
Boston, MA 02114-2336

Mailing address

4 Louisburg SQ
Boston, MA 02108-1203
Phone (617) 943-7859

Other practice location 1

New England Eye Center
750 Washington St. #450
Boston, MA 02111
Phone (617) 636-9000

Other practice location 2

281 Lincoln St
Worcester, MA 01605-2138
Phone (508) 334-6855

Other identifiers 3

IdentifierTypeStateIssuer
038282OtherMATUFTS HEALTH PLAN
B33604OtherMABCBS MA
6172954MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address jseddon246342@UmassMemorial.direct-ci.com

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
I20040301001102 MA Practitioner - Ophthalmology 2062309461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

281 Lincoln St
Worcester, MA 01605-2138
Phone (508) 334-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38282MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Oct 1, 2018 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Apr 17, 2010 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Apr 17, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

750 Washington St
#450
Boston, MA 02111
Phone (617) 636-4600

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

750 Washington St
Boston, MA 02111
Phone (617) 636-4600

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

1440 Main St
Ste 201
Waltham, MA 02451
Phone (781) 891-6377

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015

Interoperability endpoints

  • Direct secure messaging: jseddon246342@umassmemorial.direct-ci.com

Organizations & group practices 5

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 1

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1699753681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LOUISBURG SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081203",
            "telephone_number": "617-943-7859",
            "fax_number": "617-636-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HAWTHORNE PL STE 106",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142336",
            "telephone_number": "617-523-0955",
            "fax_number": "617-523-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "New England Eye Center",
            "address_2": "750 Washington St. #450",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-9000",
            "fax_number": "617-636-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052138",
            "country_code": "US",
            "telephone_number": "508-334-6855",
            "fax_number": "508-334-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDDON",
        "first_name": "JOHANNA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "38282",
            "primary": true
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MA",
            "license": "38282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "038282",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "B33604",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6172954",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jseddon246342@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.