Individual provider Active NPI

Douglas M Beach, MD

  • Pulmonary Disease Physician
  • Boston, MA
National Provider Identifier
1750366977
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
213449 Issued in MA
Practice address
330 Brookline Ave
KSB-23/Bidmc
Boston, MA 02215-5400
Phone
(617) 667-5864
Fax
(617) 667-4849
NPI assigned
Dec 9, 2005
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 213449 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 213449 MA
Pulmonary Disease Physician 207RP1001X 213449 MA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 213449 MA

Addresses

Primary practice location

330 Brookline Ave
KSB-23/Bidmc
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
KSB-23/Bidmc
Boston, MA 02215-5400
Phone (617) 667-5864

Other practice location 1

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 349-5181

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
I20060711000009 MA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1153334370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marathon Medical AssociatesGroup PAC ID 0143671453, 3 clinicians

Practice addresses (Care Compare)

1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088

115 Norwood Park S
Suite 102
Norwood, MA 02062-4633
Phone (781) 349-5181

148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600

200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

482 Bedford St
Lexington, MA 02420-1402
Phone (781) 983-9088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213449MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Medical Associates Pulmonary Disease CurrentSince Dec 1, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2010 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#23
Boston, MA 02215
Phone (617) 667-4020

330 Brookline Ave
#231
Boston, MA 02215
Phone (617) 667-3524

330 Brookline Ave
#407
Boston, MA 02215

330 Brookline Ave
#7
Boston, MA 02215
Phone (617) 632-7483

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

148 Chestnut St
Needham, MA 02492
Phone (781) 453-3000

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

115 Norwood Park S
Ste 102
Norwood, MA 02062
Phone (781) 349-5181

115 Norwood Park S
Ste 110
Norwood, MA 02062
Phone (781) 269-1623

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Interoperability endpoints

  • Direct secure messaging: dbeach254877@direct.bilh.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1750366977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "KSB-23/BIDMC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-5864",
            "fax_number": "617-667-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "KSB-23/BIDMC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-5864",
            "fax_number": "617-667-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Norwood Park S",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020624633",
            "country_code": "US",
            "telephone_number": "781-349-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "213449",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "213449",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "213449",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "213449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.