JOHN A. BOSTROM M.D.
NPI 1477087021
Internal Medicine - Cardiovascular Disease in Boston, MA

Q: What is John Bostrom's NPI number?

The NPI number for John Bostrom is 1477087021. It was assigned to this individual provider in the NPPES registry on April 19, 2017. The provider is also known as Jack Bostrom M.D..

Q: What is John Bostrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for John Bostrom was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment

732 HARRISON AVE, PRESTON BUILDING FL 3, BOSTON, MA 02118(617) 638-7490(617) 414-8742 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Apr 25, 2017, Apr 19, 2017 (3 updates tracked since 2017).

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About John A. Bostrom M.d. NPPES

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

JOHN A. BOSTROM M.D. (NPI 1477087021) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (1019765) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of University Of Massachusetts Medical School (2017).

NPPES Registry Identity

NPI1477087021

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOHN A. BOSTROMCredential: M.D.

Location Address732 HARRISON AVE, PRESTON BUILDING FL 3Boston, MA 02118-2309

Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118

Phone(617) 638-7490

Fax(617) 414-8742

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2017

Enumeration DateApril 19, 2017

Last NPPES UpdateApril 13, 20263 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1477087021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MA · 1019765

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 1019765 (MA)

732 HARRISON AVE, Boston, MA 02118

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Other Names 1

Other Name (5)Jack Bostrom M.d.

Other Identifiers 2

Medicaid3148503NH

Medicaid110176921AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John A. Bostrom M.d. 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 ID8729318662

PECOS Enrollment IDI20240614000272

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220036

Location736 Cambridge StreetBrighton, MA 02135 · 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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.

ARUNA AMBAT SARASWAT MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

732 HARRISON AVE
BOSTON, MA 02118

Suffolk County (617) 638-7470

RICHARD A COHEN M.D.

Internal Medicine (Cardiovascular Disease)

732 HARRISON AVE, 4TH FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-7490

MR. JEREMY KOBULNIK M.D.

Internal Medicine (Cardiovascular Disease)

732 HARRISON AVE, PRESTON, 3RD FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-7490

KENYA DANAE PALMER NP

Nurse Practitioner (Family)

732 HARRISON AVE, PRESTON, 2ND FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-7470

ZORAN S. NEDELJKOVIC M.D.

Internal Medicine (Interventional Cardiology)

732 HARRISON AVE, PRESTON 3RD FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-7490

VICTORIA YAROSLAVIVNA VIVTCHARENKO MD

Student in an Organized Health Care Education/Training Program

732 HARRISON AVE
BOSTON, MA 02118

Suffolk County (563) 794-0950

NOYAN A GOKCE M.D.

Internal Medicine (Cardiovascular Disease)

732 HARRISON AVE, PRESTON BUILDING FL 3
BOSTON, MA 02118

Suffolk County (617) 638-7490

MICHAEL D. KLEIN M.D.

Internal Medicine (Cardiovascular Disease)

732 HARRISON AVE, 3RD FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-7490

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 John Bostrom's NPI number?

The NPI number for John Bostrom is 1477087021. It was assigned to this individual provider in the NPPES registry on April 19, 2017. The provider is also known as Jack Bostrom M.D..

Where is John Bostrom located?

John Bostrom practices at 732 Harrison Ave Preston Building Fl 3, Boston, MA 02118. The listed phone number is (617) 638-7490.

What is John Bostrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Bostrom enrolled in Medicare?

Yes. John Bostrom 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.

What insurance does John Bostrom accept?

Health plans from Anthem Blue Cross and Blue Shield list John Bostrom 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 John Bostrom affiliated with any hospitals?

According to CMS data, John Bostrom is affiliated with Boston Medical Center and St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for John Bostrom was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.