BOSTON PLASTIC & ORAL SURGERY
BOSTON PLASTIC & ORAL SURGERY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1568404903, based in Boston, MA. The organization lists 7 taxonomy classifications, with Plastic and Reconstructive Surgery Physician recorded as primary.
Getting there
The practice address on file is 300 LONGWOOD AVE HU-158, Boston, MA 02115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7517957285
- Enrollment ID
- O20040514000467
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic and Reconstructive Surgery covers
A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery | — | — | primary |
| 208000000X | Pediatrics Physician | — | — | |
| 103G00000X | Clinical Neuropsychologist | — | — | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | — | — | |
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | — | — | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | |
| 363A00000X | Physician Assistant | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1568404903 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 11, 2006 |
| Last updated | Jan 23, 2026 |
| Status | Active |
| Practice address |
300 LONGWOOD AVE HU-158 Boston, MA 02115 (617) 355-7252 Fax (617) 738-1657 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 6 | 8 | 4 | 0 | 4 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 3 | 8 | 8 | 0 | 8 | 9 | 0 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.