Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Koshy

Individual provider Hospitalist Physician · NPI 1013448372

Jacob Koshy is an Internal Medicine in Boston, Massachusetts. Graduated from University of Massachusetts Medical School in 2017, 9 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 754-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-6097

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 282584 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013448372
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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