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AISHA K JAMES MD
NPI 1699187914
Pediatrics in Boston, MA

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114(617) 726-7782 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aisha K James Md NPPES

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

AISHA K JAMES MD (NPI 1699187914) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (L-259357) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Icahn School Of Medicine At Mount Sinai (2014).

NPPES Registry Identity

NPI1699187914
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAISHA K JAMESCredential: MD
Location Address55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITALBoston, MA 02114
Mailing Address55 Fruit St., Massachusetts General HospitalBoston, MA 02114 · (617) 726-7782
Phone(617) 726-7782
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2014
Enumeration DateMay 21, 2014
✔ NPI 1699187914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · L-259357
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 FRUIT ST., 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

Aisha K 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 ID4789801010
PECOS Enrollment IDI20180522003179
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 4

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.

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.
149 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services32 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

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

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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$3.51 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
1 supplier24 claims24 services$62.55 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.

QIAN YANG DMD
Oral & Maxillofacial Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8222
SANJAY MENON MD
Psychiatry & Neurology (Neurology)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (857) 238-5600
NOAH DANIEL HURST LEWIS MD
Student in an Organized Health Care Education/Training Program
55 FRUIT ST., YAWHAY OUTPATIENT CENTER -5B
BOSTON, MA 02114
Suffolk County (617) 643-7117
GANESH M SHANKAR MD, PHD
Neurological Surgery
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-5143
JAMIE M JACOBS PHD
Psychologist (Clinical)
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 724-5600
HIDEO MAKIMURA M.D., PH.D.
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-7948
DAVID T MADURAM MD, PHD
Anesthesiology
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-3030
OPEYEMI A OLABISI MD, PHD
Internal Medicine
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-2862

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 Aisha James's NPI number?

The NPI number for Aisha James is 1699187914. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Aisha James located?

Aisha James practices at 55 Fruit St. Massachusetts General Hospital, Boston, MA 02114. The listed phone number is (617) 726-7782.

What is Aisha James's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Aisha James enrolled in Medicare?

Yes. Aisha 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.

What insurance does Aisha James accept?

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

According to CMS data, Aisha James is affiliated with North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Aisha James was last updated on May 21, 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.