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DR. JAMES S GUSEH II MD
NPI 1487949160
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114(617) 726-2865 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2019, Feb 24, 2016 (2 updates tracked since 2016).

About Dr. James S Guseh Ii Md NPPES

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

DR. JAMES S GUSEH II MD (NPI 1487949160) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (258283) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Harvard Medical School (2011).

NPPES Registry Identity

NPI1487949160
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES S GUSEH IICredential: MD
Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.Boston, MA 02114
Mailing AddressMassachusetts General Hospital, 55 Fruit St.Boston, MA 02114 · (617) 726-2865
Phone(617) 726-2865
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateApril 3, 20192 updates tracked since enumeration
✔ NPI 1487949160 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 · 258283
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 258283 (MA), L-247758 (MA)
MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114
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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

Dr. James S Guseh Ii 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 ID7012177942
PECOS Enrollment IDI20160610001343
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
85 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
40 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

KAITLYN MY-TU LAM MBBS
Internal Medicine (Cardiovascular Disease)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-7738
ALAKA RAY M.D.
Internal Medicine
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2066
MEGHAN E SISE M.D.
Internal Medicine (Nephrology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2862
HUGH G AUCHINCLOSS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 726-2000
ANGELA M. JACQUES MD
Pediatrics
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2066
NICOLE J LOOK-HONG MD, MSC
Surgery (Surgical Oncology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 724-3868
CORINNA M ELLIOTT MA
Student in an Organized Health Care Education/Training Program
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Suffolk County (617) 724-5600
KIRAN J AGARWAL-HARDING MD
Orthopaedic Surgery
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Suffolk County (617) 726-2942

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 James Guseh's NPI number?

The NPI number for James Guseh is 1487949160. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is James Guseh located?

James Guseh practices at Massachusetts General Hospital 55 Fruit St., Boston, MA 02114. The listed phone number is (617) 726-2865.

What is James Guseh's specialty?

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

Is James Guseh enrolled in Medicare?

Yes. James Guseh 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 James Guseh accept?

Health plans from Anthem Blue Cross and Blue Shield list James Guseh 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 James Guseh affiliated with any hospitals?

According to CMS data, James Guseh is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for James Guseh was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.