DR. ISHAN JAYANT TATAKE MD
NPI 1629636774
Internal Medicine - Hematology & Oncology in Boston, MA

Q: What is Ishan Tatake's NPI number?

The NPI number for Ishan Tatake is 1629636774. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Ishan Tatake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Ishan Tatake was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 04, 2019PECOS EnrolledAccepts Medicare Assignment

330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jun 4, 2019 (2 updates tracked since 2019).

On this page

About Dr. Ishan Jayant Tatake Md NPPES

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

DR. ISHAN JAYANT TATAKE MD (NPI 1629636774) is an individual hematology & oncology provider in Boston, Massachusetts, licensed in Massachusetts (1023314) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of University Of Connecticut School Of Medicine (2019).

NPPES Registry Identity

NPI1629636774

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. ISHAN JAYANT TATAKECredential: MD

Location Address330 BROOKLINE AVEBoston, MA 02215-5400

Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 667-7000

Phone(617) 667-7000

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2019

Enumeration DateJune 4, 2019

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1629636774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in MA · 1023314

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

330 BROOKLINE AVE, Boston, MA 02215

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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. Ishan Jayant Tatake 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 ID3375879075

PECOS Enrollment IDI20250509000253

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.

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220083

Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County

Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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

$189.86 typical visit price

range $63.72 – $189.86

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

Most-billed visit code 99205

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$62.91 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$33.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BETH ISRAEL DEACONESS MEDICAL CENTER

Chronic Disease Hospital (Children)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 677-4042

DR. BRIAN DANIEL HOBBS MD, MMSC

Internal Medicine

330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215

Suffolk County (617) 667-5864

ERICA DOMMASCH MD

Dermatology

330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215

Suffolk County (617) 667-3753

VAHID KIARAD M.D

Anesthesiology

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

DR. JONATHAN DAVID THOMAS MD

Internal Medicine (Hematology)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

JULIA MARIE BERG MD

Internal Medicine

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

DR. MICHAEL R GOLDSTEIN PHD

Psychologist (Clinical)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 356-7246

SARA MURDOCK CAHILL MD

Hospitalist

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

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 Ishan Tatake's NPI number?

The NPI number for Ishan Tatake is 1629636774. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Ishan Tatake located?

Ishan Tatake practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Ishan Tatake's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ishan Tatake enrolled in Medicare?

Yes. Ishan Tatake 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 Ishan Tatake accept?

Health plans from Anthem Blue Cross and Blue Shield list Ishan Tatake 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 Ishan Tatake affiliated with any hospitals?

According to CMS data, Ishan Tatake is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Ishan Tatake was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.