Individual provider Active NPI

Jane Flagler Fogg, M.D.

  • Internal Medicine Physician
  • Norwood, MA
National Provider Identifier
1710067509
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151518 Issued in MA
Practice address
1177 Boston Providence Tpke
Norwood, MA 02062-5019
Phone
(781) 329-1400
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151518 MA Primary

Addresses

Primary practice location

1177 Boston Providence Tpke
Norwood, MA 02062-5019

Mailing address

1177 Boston Providence Tpke
Norwood, MA 02062-5019
Phone (781) 329-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfoggmd180978@direct.atrius.masshiway.net

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
I20040310000084 MA Practitioner - Internal Medicine 2062300072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine CurrentSince Jun 29, 2016 Accepting new patients
Atrius Health, Inc. Internal Medicine PastSince Jan 31, 2021 Accepting new patients

Locations

77 Herrick St
Ste 101
Beverly, MA 01915
Phone (978) 232-7115

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1710067509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625019",
            "telephone_number": "781-329-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 BOSTON PROVIDENCE TPKE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625019",
            "telephone_number": "781-329-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "JANE",
        "middle_name": "FLAGLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "151518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfoggmd180978@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "1177 Boston Providence Tpke",
            "city": "Norwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020625019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.