Active NPI
Douglas O'Connell
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1801478383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3017865
- Practice address
- 725 Albany St Ste 9B
Boston, MA 02118-3549 - Phone
- (617) 638-8000
- NPI assigned
- Apr 24, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3017865 | MA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 3017865 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 3017865 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
725 Albany St Ste 9B
Boston, MA 02118-3549
Mailing address
725 Albany St Ste 9B
Boston, MA 02118-3549
Other practice location 1
1310 Club Dr
Vallejo, CA 94592-1187
Phone (707) 638-5200
Other practice location 2
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 499-6500
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820001268 | MA | Order and Referring Only - Pulmonary Disease | 8921507450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3017865 | MA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Interoperability endpoints
- doconnell253992@direct.bmc.masshiway.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755993600000",
"number": "1801478383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ALBANY ST STE 9B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ALBANY ST STE 9B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183549",
"telephone_number": "617-638-8000"
}
],
"practiceLocations": [
{
"address_1": "1310 Club Dr",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945921187",
"country_code": "US",
"telephone_number": "707-638-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012302",
"country_code": "US",
"telephone_number": "559-499-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNELL",
"first_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-24",
"last_updated": "2025-08-24",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "3017865",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "3017865",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "3017865",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.