EMILY P. HYLE MD
NPI 1033246475
Internal Medicine - Infectious Disease in Boston, MA
NPI Status: Active since February 27, 2007
Contact Information
55 FRUIT STREET
COX 5
BOSTON, MA
ZIP 02114
Phone: (617) 726-8403
- Individual
- Female
- Years of Experience 20
- Internal Medicine
- Infectious Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About EMILY HYLE
This page provides the complete NPI Profile along with additional information for Emily Hyle, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in infectious disease and more than 20 years of experience. She graduated from Perelman School Of Med At The University Of Pennsylvania in 2006. The healthcare provider is registered in the NPI registry with number 1033246475 assigned on February 2007. The practitioner's primary taxonomy code is 207RI0200X with license number 235551 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1033246475
- Provider Name
- EMILY P. HYLE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 FRUIT STREET COX 5 BOSTON, MA 02114
- Location Phone
- (617) 726-8403
- Mailing Address
- 55 FRUIT STREET MGH INFECTIOUS DISEASE CLINIC BOSTON, MA 02114
- Mailing Phone
- (617) 726-8403
- Medical School Name
- PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-27-2007
- Last Update Date
- 02-18-2010
- Code Navigator
An internist like Emily Hyle is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 235551
- License State
- MA
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Emily Hyle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Emily Hyle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9032241567
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100720000411
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 50 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 41 times for 17 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 58 times for 21 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 21 times for 21 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Emily Hyle is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 2 | 4 | 6 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 4 | 4 | 12 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 4 + 4 + 1 + 2 + 4 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1033246475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. MARYETTA E. KING M.D.
Pediatrics
55 FRUIT STREET
YAWKEY 5-062 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114
DR. XIANGWEI ZHANG MD MS
Anesthesiology
55 FRUIT STREET
CLN 309
BOSTON, MA
ZIP 02114
DR. VILMA ENID ORTIZ MD
Anesthesiology
55 FRUIT STREET
CLN 3
BOSTON, MA
ZIP 02114
DR. CAMMIE FAITH LESSER MD PHD
Internal Medicine
55 FRUIT STREET
FND 8
BOSTON, MA
ZIP 02114
DR. FUMITO ICHINOSE MD
Anesthesiology
55 FRUIT STREET
CLN 3
BOSTON, MA
ZIP 02114
DR. GEORGE WILLIAM DEC JR. MD
Internal Medicine
55 FRUIT STREET
YAW 5
BOSTON, MA
ZIP 02114
DR. ATHE MICHAELNOEL TSIBRIS MD
Internal Medicine
55 FRUIT STREET
GRJ 504
BOSTON, MA
ZIP 02114
DR. RAFAEL VICENTE PIERETTI MD
Urology
(Pediatric Urology)
55 FRUIT STREET
WRN 11
BOSTON, MA
ZIP 02114
DR. J KENNETH DAVISON MD DDS
Anesthesiology
55 FRUIT STREET
GRB 406E
BOSTON, MA
ZIP 02114
DR. SUSAN ROVAINE BROWN MD
Psychiatry & Neurology
(Psychiatry)
55 FRUIT STREET
WHT 130
BOSTON, MA
ZIP 02114
DR. PAUL E HESTERBERG MD
Internal Medicine
55 FRUIT STREET
MASSACHUSETTS GENERAL HOSPITAL COX BUILDING 201
BOSTON, MA
ZIP 02114
DR. AHMED BASSEM ELAINI MD
Radiology
(Diagnostic Radiology)
55 FRUIT STREET
FND 216 RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114
DR. CHRISTIANA A IYASERE MD
Internal Medicine
55 FRUIT STREET
BAR 917 MEDICAL ACCESS UNIT
BOSTON, MA
ZIP 02114
FRANK E HOKEMA MD
Anesthesiology
55 FRUIT STREET
CLN 309
BOSTON, MA
ZIP 02114
DR. JENNIFER S TEMEL MD
Internal Medicine
(Medical Oncology)
55 FRUIT STREET
YAW 7B HEMATOLOGY/ONCOLOGY
BOSTON, MA
ZIP 02114
DR. REX NEAL SMITH MD PHD
Pathology
(Immunopathology)
55 FRUIT STREET
WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA
ZIP 02114
DR. ROBERT L DOYLE MD
Psychiatry & Neurology
(Psychiatry)
55 FRUIT STREET
YAW 6900 CHILD & ADOLESCENT PSYCHIATRY
BOSTON, MA
ZIP 02114
DR. PETER FRANCIS DUNN MD
Anesthesiology
(Critical Care Medicine)
55 FRUIT STREET
CLN 2 ANESTHESIA ASSOCIATES
BOSTON, MA
ZIP 02114
DR. MARIA TERESA VIVALDI MD
Internal Medicine
(Cardiovascular Disease)
55 FRUIT STREET
VBK 508
BOSTON, MA
ZIP 02114
DR. SHABIN NANJI MBBC
Pathology
(Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET
MASSACHUSETTS GENERAL HOSPITAL WRN 219
BOSTON, MA
ZIP 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033246475, enumerated as an "individual" on February 27, 2007.
The provider is located at 55 FRUIT STREET COX 5 BOSTON, MA 02114 and the phone number is (617) 726-8403.
Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
Emily Hyle is affiliated with: MASSACHUSETTS GENERAL HOSPITAL.
