Individual provider Active NPI

Thomas Joseph Connolly, MD

  • Obstetrics & Gynecology Physician
  • Chestnut Hill, MA
National Provider Identifier
1972587871
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156025 Issued in MA
Practice address
27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone
(617) 731-3400
Fax
(617) 566-2224
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 156025 MA Primary

Addresses

Primary practice location

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747

Mailing address

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone (617) 731-3400

Other identifiers 3

IdentifierTypeStateIssuer
J18845OtherMABCBS MA
3180204MedicaidMA
156025OtherTUFTS HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Connolly.Thomas.NEOGA@direct.partners.masshiway.net Health Information Exchange (HIE)

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
I20040715000673 MA Practitioner - Obstetrics/Gynecology 8426037292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England OB/GYN Associates,IncGroup PAC ID 8628038734, 15 clinicians

Practice addresses (Care Compare)

27 Boylston St
Suite 320
Chestnut Hill, MA 02467-1747
Phone 6177313400115

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156025MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New England OB/GYN Associates,Inc CurrentSince Oct 1, 2008 Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients

Locations

1 Brookline Pl
Ste 522
Brookline, MA 02445
Phone (617) 731-3400

27 Boylston St
Ste 320
Chestnut Hill, MA 02467
Phone (617) 467-6672

200 Boylston St
Ste 301
Chestnut Hill, MA 02467
Phone (617) 467-6696

Interoperability endpoints

  • Direct secure messaging: connolly.thomas.neoga@direct.partners.masshiway.net

Organizations & group practices 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1972587871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "156025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J18845",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3180204",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "156025",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Connolly.Thomas.NEOGA@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "New England OB GYN Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIT",
            "address_1": "200 Boylston St Ste 301",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024672008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.