Individual provider Active NPI

James J Oconnell, MD

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1780661603
Registry record updated Nov 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53045 Issued in MA
Practice address
780 Albany St
Boston Health Care for the Homeless Program
Boston, MA 02118-2524
Phone
(617) 726-1818
Fax
(857) 654-1093
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2010

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 53045 MA Primary

Addresses

Primary practice location

780 Albany St
Boston Health Care for the Homeless Program
Boston, MA 02118-2524

Mailing address

780 Albany St
Boston Health Care for the Homeless Program
Boston, MA 02118-2524
Phone (617) 726-1818

Other identifiers 3

IdentifierTypeStateIssuer
3000028MedicaidMA
J04062OtherMABCBS MA
053045OtherMATUFTS HEALTH PLAN

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
I20050328000744 MA Practitioner - Internal Medicine 5890741359 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53045MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Mar 28, 2011 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jun 29, 1984 Accepting new patients
Evans Medical Foundation, Inc. Internal Medicine CurrentSince Dec 25, 2011 Accepting new patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Mar 28, 2011 Accepting new patients
Boston Health Care for the Homeless Program, Inc. Current Accepting new patients
The General Hospital Corporation CurrentSince Jun 1, 2006 Accepting new patients
General Hospital Corp Current Accepting new patients

Locations

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

15 Parkman St
Boston, MA 02114
Phone (617) 726-3023

780 Albany St
Boston, MA 02118
Phone (857) 654-1000

780 Albany St
#2130
Boston, MA 02118

240 Turnpike St
Canton, MA 02021
Phone (781) 534-5914

Interoperability endpoints

  • Direct secure messaging: joconnell188681@direct.ochin.org
  • Direct secure messaging: oconnell.james.mgh@direct.partners.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1780661603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "address_2": "BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "617-726-1818",
            "fax_number": "857-654-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "address_2": "BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182524",
            "telephone_number": "617-726-1818",
            "fax_number": "857-654-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "53045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000028",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J04062",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "053045",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.