Boston Pain Clinic & Primary Care PC
NPI 1790810745ActiveOrganization· Specialist· Hyde Park, MA
Specialist in Hyde Park, Massachusetts, registered in NPPES in February 2007. The authorized official on file is Roberto Feliz, MD, Pain Managment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790810745 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Nov 13, 2025 |
| Certified by provider | Nov 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 79427 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
Other Specialist providers in Hyde Park
- 1285742023
- 1629144555