Individual provider Active NPI

Taylor Koerner, MD

  • Pediatric Cardiology Physician
  • Boston, MA
National Provider Identifier
1700272739
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
79595 Issued in CT
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(413) 315-3117
NPI assigned
Apr 7, 2015
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 278901 MA
Pediatric Cardiology Physician 2080P0202X 79595 CT Primary
Pediatric Critical Care Medicine Physician 2080P0203X 79595 CT

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

282 Washington St
Hartford, CT 06106-3322

Other practice location 1

6410 Fannin St Ste 500
Houston, TX 77030-3005
Phone (832) 325-6516

Other practice location 2

140 High Street
Springfield 3581
Springfield, MA 01109-1442
Phone (413) 794-5084

Other practice location 3

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230817000939 PA Practitioner - Critical Care (Intensivists) 8325357999 Reassigns benefits to 1 organization
I20241113002950 CT Practitioner - Pediatric Medicine 8325357999 Reassigns benefits to 1 organization
I20260129000189 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8325357999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Wake Forest University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79595CTMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Nov 22, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 6, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 6, 2023 Accepting new patients
Nuvance Health Medical Practice PC Pediatrics CurrentSince Dec 8, 2024 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Nov 7, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Nov 7, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Nov 22, 2025 Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Interoperability endpoints

  • Direct secure messaging: tkoerner3780497@direct.trinity-health.org
  • Direct secure messaging: tkoerner41234@direct.uth.org
  • Direct secure messaging: tkoerner95352@connecticutchildrens.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1700272739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "413-315-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303005",
            "country_code": "US",
            "telephone_number": "832-325-6516",
            "fax_number": "713-512-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 High Street",
            "address_2": "Springfield 3581",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011091442",
            "country_code": "US",
            "telephone_number": "413-794-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-545-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "278901",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CT",
            "license": "79595",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CT",
            "license": "79595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.