Active NPI
John V. Wylie Jr., MD
- Clinical Cardiac Electrophysiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 214047
- Practice address
- 736 Cambridge St
CCP4
Boston, MA 02135-2907 - Phone
- (617) 789-3187
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214047 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 214047 | MA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 214047 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
CCP4
Boston, MA 02135-2907
Mailing address
960 Massachusetts Ave
Boston, MA 02118-2620
Phone (617) 414-4505
Other practice location 1
25 Libby St
Brockton, MA 02302-2949
Phone (508) 941-7700
Other practice location 2
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
185 Pilgrim Rd
Boston, MA 02215-5324
Phone (781) 983-9088
25 Libby St
Brockton, MA 02302-2949
Phone (508) 941-7450
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
- Signature Healthcare Brockton Hospital
- Boston Medical Center-Brighton
- Emerson Hospital -
- Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Revere Medical of Massachusetts, PC | Internal Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Boston Medical Center - Brighton Corporation | Past | Accepting new patients |
Locations
185 Pilgrim Rd
#4
Boston, MA 02215
Phone (617) 632-7828
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
185 Pilgrim Rd
Boston, MA 02215
Phone (617) 632-8252
11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
25 Libby St
Brockton, MA 02302
Phone (508) 941-7450
300 Mount Auburn St
Ste 310
Cambridge, MA 02138
Phone (617) 497-1560
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438
99 Lincoln St
Framingham, MA 01702
Phone (508) 875-4811
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
15 Roche Brothers Way
Ste 110
North Easton, MA 02356
Phone (781) 792-6500
825 Washington St
Ste 340
Norwood, MA 02062
Phone (781) 762-6581
40 Spring St
Watertown, MA 02472
Phone (617) 923-8433
Interoperability endpoints
- john.wylie@direct.signature.masshiway.net
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1336976539
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1720030026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182620",
"telephone_number": "617-414-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "CCP4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-3187"
}
],
"practiceLocations": [
{
"address_1": "25 Libby St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023022949",
"country_code": "US",
"telephone_number": "508-941-7700",
"fax_number": "508-941-6334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 Centre St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023023308",
"country_code": "US",
"telephone_number": "508-941-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYLIE",
"first_name": "JOHN",
"middle_name": "V.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "214047",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "214047",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MA",
"license": "214047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.