THEA JAMES MD
NPI 1164465043
Emergency Medicine in Boston, MA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118(617) 414-5481(617) 414-7759 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thea James Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEA JAMES MD (NPI 1164465043) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (81539) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1164465043
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTHEA JAMESCredential: MD
Location Address1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTHBoston, MA 02118-2908
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 414-7759
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 30, 2014
✔ NPI 1164465043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 81539
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118

Other Identifiers 6

Other081539MA · Tufts
Medicaid3139841MA
Medicare PINA2012701
OtherJ31288MA · Bcbs
Medicare PINP00139821
Medicare UPING04997MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thea James Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941218077
PECOS Enrollment IDI20060330000394
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thea James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1 BOSTON MEDICAL CTR PL, BCD 1ST FLOOR
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 69 clinicians in this Medicare group
Pediatrics
1 BOSTON MEDICAL CTR PL, DIVISION OF PEDIATRICS, DOWLING 3 SOUTH
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 195 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118

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 Thea James's NPI number?

The NPI number for Thea James is 1164465043. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Thea James located?

Thea James practices at 1 Boston Medical Ctr Pl Dowling 1 South, Boston, MA 02118. The listed phone number is (617) 414-5481.

What is Thea James's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thea James enrolled in Medicare?

Yes. Thea James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thea James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thea James reassigns Medicare benefits to 2 organizations: Boston Emergency Physician Foundation, Inc. (Boston, MA) and Child Health Foundation Of Boston, Inc. (Boston, MA). Each 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 Thea James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thea James accept?

Health plans from WellSense Health Plan list Thea James 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.

Is Thea James affiliated with any hospitals?

According to CMS data, Thea James is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Thea James was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.