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

Siddhant Datta

Individual provider Hospitalist Physician · NPI 1255745006

Siddhant Datta is an Internal Medicine in Boston, Massachusetts. Qualified in 2013, 13 years ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2014
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Practice location Address checks out

330 Brookline Ave # SPAN2
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.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 273308 (MA)

Record details

NPI number1255745006
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address330 Brookline Ave # Span2, Boston, MA 02215-5400

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 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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