Individual provider Active NPI

Stephanie Diane Talutis, MD, MPH

  • Vascular Surgery Physician
  • Boston, MA
National Provider Identifier
1154749703
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
268764 Issued in MA
Practice address
732 Harrison Avenue, 3Rd Floor West
Preston BLDG.
Boston, MA 02118-2309
Phone
(617) 638-8488
Fax
(617) 638-8469
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 268764 NH
Vascular Surgery Physician 2086S0129X 268764 MA Primary

Addresses

Primary practice location

732 Harrison Avenue, 3Rd Floor West
Preston BLDG.
Boston, MA 02118-2309

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other practice location 1

736 Cambridge St
8th FL.
Brighton, MA 02135
Phone (617) 789-3309

Other practice location 2

1 Pearl St
Suite 2000
Brockton, MA 02301
Phone (617) 890-9952

Other practice location 3

60 East St
Suite 1400
Methuen, MA 01844-4550
Phone (617) 202-6001

Other identifiers 3

IdentifierTypeStateIssuer
110108577AMedicaidMD
3149701MedicaidMA
3149701MedicaidNH

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
I20230821001375 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 9335368653 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University General Surgical Associates, Inc.Group PAC ID 9830183763, 86 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8605

732 Harrison Ave
Boston, MA 02118-2309

732 Harrison Ave FL 3
Preston BLDG
Boston, MA 02118-2309
Phone (617) 638-7350

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268764NHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University General Surgical Associates, Inc.-QMC CurrentSince May 1, 2025 Accepting new patients
BMC Affiliated Physicians, Inc. Surgery CurrentSince Mar 1, 2026 Accepting new patients
Boston University General Surgical Associates, Inc. Surgery CurrentSince May 1, 2025 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. CurrentSince Jul 25, 2023 Accepting new patients
LGH Medical Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

800 Washington St
#1035
Boston, MA 02111

732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

960 Massachusetts Ave
Ste 2
Boston, MA 02118

720 Harrison Ave
Ste 700
Boston, MA 02118
Phone (617) 638-8488

736 Cambridge St
Fl 8
Brighton, MA 02135
Phone (617) 789-3309

1 Pearl St
Ste 2000
Brockton, MA 02301
Phone (508) 584-4104

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

60 East St
Ste 1400
Methuen, MA 01844
Phone (978) 689-0869

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1154749703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVENUE, 3RD FLOOR WEST",
            "address_2": "PRESTON BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182309",
            "telephone_number": "617-638-8488",
            "fax_number": "617-638-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Cambridge St",
            "address_2": "8th FL.",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-3309",
            "fax_number": "617-779-6786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pearl St",
            "address_2": "Suite 2000",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "617-890-9952",
            "fax_number": "617-638-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 East St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444550",
            "country_code": "US",
            "telephone_number": "617-202-6001",
            "fax_number": "978-722-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALUTIS",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "268764",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "268764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110108577A",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149701",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3149701",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.