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

Jorg Dietrich, MDPHD

Individual provider Neurology Physician · NPI 1407977473

Jorg Dietrich, MDPHD is a Neurology in Boston, Massachusetts. Qualified in 1996, 30 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
30
Licensed in
MA
In the registry since
2007
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Practice location Address checks out

55 Fruit Street Yawkey Center 9E Pappas Center For Neurooncology
Boston, MA 02114
Phone: (617) 724-8770
Fax: (617) 724-8769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 643-6593

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 225271 (MA)

Record details

NPI number1407977473
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address275 Beacon St Apt 2a, Boston, MA 02116-1257

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boston