Individual provider Active NPI

Jeremy Joseph Pruzin, MD

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1962816249
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
275111 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-5500
NPI assigned
Jun 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 275111 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

375 Boylston St
Brookline, MA 02445-6007
Phone (185) 730-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200923001175 AZ Practitioner - Neurology 0042501090 Reassigns benefits to 7 organizations
I20240829000856 TX Practitioner - Neurology 0042501090 Reassigns benefits to 1 organization
I20240829001275 OH Practitioner - Neurology 0042501090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carend Provider Group PAGroup PAC ID 2264827518, 26 clinicians
Carend Provider Group of Kansas PAGroup PAC ID 2961843198, 8 clinicians
Carend Provider Group of New Jersey PCGroup PAC ID 4082082789, 13 clinicians
Elizabeth Ferluga, M.D., P.CGroup PAC ID 6608246194, 16 clinicians
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

Harrison, OH 45030
Phone (708) 630-1534

Phoenix, AZ 85014
Phone (708) 872-7108

3713 N 11TH St
Phoenix, AZ 85014-5027
Phone (708) 630-1534

721 Hawk Dr
Allen, TX 75013-5118
Phone (708) 872-7108

901 E Willetta St
1St Floor
Phoenix, AZ 85006-2727
Phone (602) 839-6901

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carend Provider Group of New Jersey PC Neurology CurrentSince Aug 15, 2024 Accepting new patients
Banner Alzheimer'S Institute CurrentSince Sep 28, 2020 Accepting new patients
Banner Alzheimer'S Institute CurrentSince Sep 28, 2020 Accepting new patients
Elizabeth Ferluga, M.D., P.C. Neurology CurrentSince Jul 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Carend Provider Group PA Neurology CurrentSince Dec 12, 2023 Accepting new patients

Locations

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

548 Market St
San Francisco, CA 94104
Phone (415) 275-1838

382 NE 191st St
#47606
Miami, FL 33179

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

Organizations & group practices 9

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 1

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1962816249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BOYLSTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456007",
            "telephone_number": "185-730-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUZIN",
        "first_name": "JEREMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "275111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.