Individual provider Active NPI

Jeremy D Schiller, M.D.

  • Diagnostic Radiology Physician
  • Cambridge, MA
National Provider Identifier
1811934003
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
217163 Issued in MA
Practice address
330 Mount Auburn St
Mount Auburn Hospital
Cambridge, MA 02138-5502
Phone
(617) 499-5070
Fax
(617) 499-5138
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 217163 MA Primary

Addresses

Primary practice location

330 Mount Auburn St
Mount Auburn Hospital
Cambridge, MA 02138-5502

Mailing address

PO Box 382328
Cambridge, MA 02238-2328
Phone (617) 661-1949

Other identifiers 1

IdentifierTypeStateIssuer
2117959MedicaidMA

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
I20060707000262 MA Practitioner - Diagnostic Radiology 0345252516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schatzki Associates IncGroup PAC ID 4789653825, 19 clinicians
Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians

Practice addresses (Care Compare)

22 Mill St
Arlington, MA 02476-4784
Phone (617) 492-3500

221 E Main St
Suite 100
Milford, MA 01757-2826
Phone (508) 482-5405

25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5070

480 Pleasant St
Watertown, MA 02472-2463
Phone (857) 760-7530

725 Concord Ave
Suite 1100
Cambridge, MA 02138-1040
Phone (617) 547-6711

75 Mount Auburn St
Cambridge, MA 02138-4960
Phone (617) 496-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217163MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
President & Fellows of Harvard College CurrentSince Jan 1, 2018 Accepting new patients
Massachusetts Institute of Technology CurrentSince Jul 1, 2006 Accepting new patients
President and Fellows of Harvard College CurrentSince Jan 1, 2018 Accepting new patients

Locations

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

Interoperability endpoints

  • Direct secure messaging: jschiller519562@direct.bilh.masshiway.net

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.

Hospital & facility affiliations 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1811934003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382328",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022382328",
            "telephone_number": "617-661-1949",
            "fax_number": "617-661-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "address_2": "MOUNT AUBURN HOSPITAL",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-499-5070",
            "fax_number": "617-499-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "217163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117959",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.