Active NPI
Benjamin T Shelton, MD
- Emergency Medicine Physician
- Boston, MA
National Provider Identifier
1720196439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 228233
- Practice address
- 1 Boston Medical Ctr PL
Dowling 1 South
Boston, MA 02118-2908 - Phone
- (617) 414-5481
- Fax
- (617) 414-7759
- NPI assigned
- Aug 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 228233 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Ctr PL
Dowling 1 South
Boston, MA 02118-2908
Mailing address
PO Box 414402
Boston, MA 02241-0001
Phone (866) 898-7138
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J42015 | Other | MA | BCBS |
| 2137241 | Medicaid | MA | |
| 496292 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.68 of 100
- Quality
- 84.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228233 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Emergency Medicine Associates | Emergency Medicine | Current | Accepting new patients |
| Orthopaedic Assoc Medical Clinic, Inc. | Past | Accepting new patients | |
| Boston Emergency Physician Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
| Boston Medical Center | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Anchorage, AK
- NPI 1568450476
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1427005859
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548602733
-
- Orthopaedic Surgery Physician
- Visalia, CA
- NPI 1659473171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1720196439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 414402",
"city": "BOSTON",
"state": "MA",
"postal_code": "022410001",
"telephone_number": "866-898-7138",
"fax_number": "616-975-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL",
"address_2": "DOWLING 1 SOUTH",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182908",
"telephone_number": "617-414-5481",
"fax_number": "617-414-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "BENJAMIN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "228233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J42015",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2137241",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "496292",
"state": "MA"
}
],
"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 May 5, 2008; 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.