JIMENA TATIANA HATHAWAY MD, MPH
NPI 1053182691
Student in an Organized Health Care Education/Training Program in Boston, MA
About Jimena Tatiana Hathaway Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMENA TATIANA HATHAWAY MD, MPH (NPI 1053182691) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jimena Tatiana Hathaway Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jimena Hathaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 478 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jimena Hathaway's NPI number?
The NPI number for Jimena Hathaway is 1053182691. It was assigned to this individual provider in the NPPES registry on January 11, 2024.
Where is Jimena Hathaway located?
Jimena Hathaway practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 523-7900.
What is Jimena Hathaway's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jimena Hathaway enrolled in Medicare?
Yes. Jimena Hathaway is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jimena Hathaway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimena Hathaway reassigns Medicare benefits to Massachusetts Eye And Ear Associates, Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimena Hathaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jimena Hathaway accept?
Health plans from Anthem Blue Cross and Blue Shield list Jimena Hathaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jimena Hathaway was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jimena Tatiana Hathaway, MD, MPH · NPI 1053182691
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since January 11, 2024.
## Identity
- **NPI:** 1053182691 (Entity type: Individual)
- **Enumerated:** January 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 243 CHARLES ST, Boston, MA 02114-3002
- **Phone:** (617) 523-7900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Massachusetts Eye And Ear Associates, Inc. (NPI 1932574332, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053182691) · Data from the CMS NPPES public registry.