VASCULAR/SURGERY - HMFP AT BIDMC – NPI #1891736310
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

VASCULAR/SURGERY - HMFP AT BIDMC is a surgeon located in BOSTON, MA. NPPES has assigned the NPI number 1891736310 to VASCULAR/SURGERY - HMFP AT BIDMC on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VASCULAR/SURGERY - HMFP AT BIDMC” is a dba name, the actual legal business name for this organization is HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 8 years ago on Sep 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VASCULAR/SURGERY - HMFP AT BIDMC below.

NPI Profile for
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC

NPI Number
1891736310
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Doing Business As (dba): VASCULAR/SURGERY - HMFP AT BIDMC
Primary location
330 BROOKLINE AVE
BOSTON, MA 02215
Phone: (617) 632-7390 Fax:
Mailing address
375 LONGWOOD AVE STE 3B
BOSTON, MA 02215-5395
Phone: (781) 528-2835 Fax: (617) 754-1050
Organization Subpart
No
Authorized Official
ALEXANDRA KIMBALL
CHIEF EXECUTIVE OFFICER
Phone: (617) 632-7444
Updated
Identifiers

Identifiers for VASCULAR/SURGERY - HMFP AT BIDMC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMA9760911
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.