Individual provider Active NPI

Okan Cetin, MD

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1093504938
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
3018765 Issued in MA
Practice address
736 Cambridge Street Mob 308
St. Elizabeths Medical Center Department of Medicine in
Boston, MA 02135
Phone
(617) 319-1440
NPI assigned
May 6, 2025
Reactivated
Mar 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3018765 MA Primary

Addresses

Primary practice location

736 Cambridge Street Mob 308
St. Elizabeths Medical Center Department of Medicine in
Boston, MA 02135

Mailing address

736 Cambridge Street Mob 308
St. Elizabeths Medical Center Department of Medicine in
Boston, MA 02135
Phone (617) 319-1440

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421001827 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7416423017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3018765MAMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: okan.cetin.1@2017.direct.athenahealth.com
  • Direct secure messaging: ocetin130198@direct.bmc.masshiway.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1093504938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET MOB 308",
            "address_2": "ST. ELIZABETHS MEDICAL CENTER DEPARTMENT OF MEDICINE IN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-319-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE STREET MOB 308",
            "address_2": "ST. ELIZABETHS MEDICAL CENTER DEPARTMENT OF MEDICINE IN",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-319-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETIN",
        "first_name": "OKAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "deactivation_date": "2026-02-19",
        "reactivation_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "3018765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.