Individual provider Active NPI

Thomas David O'Halloran, MB BCH BAO

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1922101294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219608 Issued in MA
Practice address
Beth Israel Deaconess Medical Center, 1 Deaconess Road
Division of Cardiology
Boston, MA 02215
Phone
(617) 632-7828
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 219608 MA Primary

Addresses

Primary practice location

Beth Israel Deaconess Medical Center, 1 Deaconess Road
Division of Cardiology
Boston, MA 02215

Mailing address

33 Parker St
Apt. 2
Cambridge, MA 02138-2230
Phone (617) 661-9010

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
I20120110000570 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547361206 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Cardiology Associates IncGroup PAC ID 5991713836, 11 clinicians
Macro, Inc.Group PAC ID 9537183108, 10 clinicians

Practice addresses (Care Compare)

300 Mount Auburn St
Cambridge, MA 02138-5600

300 Mount Auburn St
Suite 310
Cambridge, MA 02138-5665
Phone (617) 497-1560

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5024

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Cambridge Health Alliance Hospital, Cambridge, MA, CCN 220011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Feb 3, 2003 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Feb 3, 2003 Accepting new patients
Macro, Inc. Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Mount Auburn Hospital Past Accepting new patients

Locations

1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

300 Mount Auburn St
Ste 310
Cambridge, MA 02138
Phone (617) 497-1560

99 Lincoln St
Framingham, MA 01702
Phone (508) 875-4811

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

Interoperability endpoints

  • Direct secure messaging: tohalloran253963@direct.bilh.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922101294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PARKER ST",
            "address_2": "APT. 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382230",
            "telephone_number": "617-661-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER, 1 DEACONESS ROAD",
            "address_2": "DIVISION OF CARDIOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-632-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HALLORAN",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "credential": "MB BCH BAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "219608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.