Active NPI
Peter Charles Doyle, M.D.
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1770573487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 205029
- Practice address
- 135 Forsyth St
360 Huntingdon Ave
Boston, MA 02115-5024 - Phone
- (617) 373-8922
- Fax
- (617) 373-2601
- NPI assigned
- Oct 25, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 205029 | MA | Primary |
Addresses
Primary practice location
135 Forsyth St
360 Huntingdon Ave
Boston, MA 02115-5024
Mailing address
560 Washington St
Holliston, MA 01746-1819
Phone (508) 429-8060
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67275 | Other | MD | CIGNA |
| M18068 | Other | MA | BLUE CROSS |
| 693112 | Other | MA | HCHP |
| 205029 | Other | MA | TUFTS |
| J25306 | Other | MA | BLUE CROSS |
| 2023172 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205029 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770573487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WASHINGTON ST",
"city": "HOLLISTON",
"state": "MA",
"postal_code": "017461819",
"telephone_number": "508-429-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 FORSYTH ST",
"address_2": "360 HUNTINGDON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155024",
"telephone_number": "617-373-8922",
"fax_number": "617-373-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "PETER",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "205029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "67275",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "M18068",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCHP",
"identifier": "693112",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "205029",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J25306",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023172",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.