Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
NPI 1891736310ActiveOrganization· Surgery, Vascular Surgery· Boston, MA
Surgery, Vascular Surgery in Boston, Massachusetts, registered in NPPES in June 2006. The authorized official on file is Alexandra Boer Kimball, MD, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891736310 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Sep 20, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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