NPIMap

Individual provider Active NPI

Ron Medzon, MD

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1861465825
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
152728 Issued in MA
Practice address
1 Boston Medical Ctr PL
Dowling 1 South
Boston, MA 02118-2908
Phone
(617) 414-5481
Fax
(617) 414-7759
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 152728 MA Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL
Dowling 1 South
Boston, MA 02118-2908

Mailing address

720 Harrison Ave
Dob 503
Boston, MA 02118-2371

Other identifiers 3

IdentifierTypeStateIssuer
J17574OtherMABCBS
110058559AMedicaidMA
764662OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051107000738 MA Practitioner - Emergency Medicine 5597783639 Reassigns benefits to 3 organizations
I20190103001867 TX Practitioner - Emergency Medicine 5597783639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Emergency Physician Foundation IncGroup PAC ID 4981596095, 74 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 414-5481

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Dec 7, 2018 Accepting new patients
Neighborhealth Corporation CurrentSince Apr 8, 2013 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Boston Emergency Physician Foundation, Inc. Emergency Medicine CurrentSince Dec 10, 2007 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Sep 26, 2011 Accepting new patients
Boston Medical Center Past Accepting new patients

Locations

1 Boston Medical Ctr Pl
#1S
Boston, MA 02118
Phone (617) 414-4929

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

460 Totten Pond Rd
Waltham, MA 02451
Phone (617) 890-9937

Interoperability endpoints

  • Direct secure messaging: rmedzon11288@direct.bmc.masshiway.net

Organizations & group practices 6

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 8

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1861465825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB 503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "address_2": "DOWLING 1 SOUTH",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-5481",
            "fax_number": "617-414-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDZON",
        "first_name": "RON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "152728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J17574",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110058559A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "764662",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.