Active NPI
Catherine M Nowak, M.D.
- Clinical Genetics (M.D.) Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 76523
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 726-1742
- Fax
- (617) 726-1566
- NPI assigned
- Nov 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 76523 | MA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | 76523 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
7 Joanne Dr
Westborough, MA 01581-3519
Phone (508) 320-0782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3126668 | Medicaid | MA |
Other names 1
- Dr. Catherine B Nowak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Genetics and Genomics
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76523 | MA | MD | Clinical Genetics (M.D.) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| The Feingold Center for Children | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Interoperability endpoints
- nowak.catherine.mgh@direct.partners.masshiway.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Anesthesiology Physician
- Boston, MA
- NPI 1831688555
-
- Ph.D. Medical Genetics
- Waltham, MA
- NPI 1891852596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1053393470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JOANNE DR",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813519",
"telephone_number": "508-320-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-1742",
"fax_number": "617-726-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "CATHERINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-20",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "76523",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "MA",
"license": "76523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3126668",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "NOWAK",
"middle_name": "B",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.