NPIMap

Organization Active NPI

Beth Israel Deaconess Hospital Milton Inc

  • General Acute Care Hospital
  • Milton, MA
National Provider Identifier
1174618953
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
282N00000X Issued in MA
Legal business name
BETH ISRAEL DEACONESS HOSPITAL MILTON INC
Practice address
199 Reedsdale Rd
Milton, MA 02186-3926
Phone
(617) 313-1214
Fax
(617) 313-1567
NPI assigned
Oct 4, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Sheilah Rangaviz
Title
Chief Financial Officer
Phone
(617) 313-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 282N00000X MA Primary

Addresses

Primary practice location

199 Reedsdale Rd
Milton, MA 02186-3926

Mailing address

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 313-1214

Other identifiers 6

IdentifierTypeStateIssuer
MIL22220108OtherMABLUE CROSS OF MA
903750OtherMATUFTS INPT PROV #
900098OtherMAHARVARD PILGRIM PROV #
900371OtherMATUFTS OP PROV #
1000489MedicaidMA
1201263MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000924 MA Part A Provider - Hospital 2163488164 Practice locations: Milton, MA; Quincy, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174618953. Details of each certification follow.

Hospital certification: CCN 220108

Legal name
BETH ISRAEL DEACONESS HOSPITAL MILTON INC
Doing business as
BETH ISRAEL DEACONESS HOSPITAL-MILTON INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 6, 2008
Beds
81
Ownership / control type
Federal
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1903 in MA
Enrollment address
199 Reedsdale Rd
Milton, MA 21863926
Opt Extension Site
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Beth Israel Deaconess Hospital - MiltonCCN 220108 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0079325Beth Israel Deaconess Hospital-Milton199 Reedsdale Rd, Milton, MA 02186AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Milton Hospital Tcu Unit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ebi D Okara Individual Corporate Director Oct 1, 2021
Maureen Glynn Individual Corporate Director Oct 1, 2023
Jamie Katz Individual Corporate DirectorBoard Member/Clerk Mar 1, 2019
Richard Fernandez Individual Corporate OfficerPresident Mar 1, 2019
Operational/Managerial ControlPresident Mar 1, 2019
Heidi H Oconnor Individual Corporate DirectorBoard Member Mar 1, 2019
Kevin M Tabb Individual Corporate DirectorBoard Member & Pres. and Ceo, Bilh Jan 1, 2012
Alexandra Alexopoulos Individual Corporate DirectorBoard Member Jan 1, 2017
Stephen Denny Individual Corporate Director Oct 1, 2021
Beth Israel Lahey Health, Inc. Organization, Cambridge, MA Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2019 100%
Joseph C. Sullivan Individual Corporate DirectorBoard Member Oct 1, 2019
Anthony J. Cichello Individual Corporate DirectorBoard Member Oct 1, 2020
Jeffrey Marr Individual Corporate DirectorBoard Member Mar 1, 2019
Sheilah Rangaviz Individual Corporate OfficerChief Financial Officer Jul 1, 2021
Operational/Managerial ControlChief Financial Officer Jul 1, 2021
Morgan Bresnick Individual Corporate Director Oct 1, 2021
John Burke Individual Corporate DirectorBoard Member Oct 1, 2020
Raju Pathak Individual Corporate DirectorBoard Member Mar 1, 2019
Harris E. Collins Individual Corporate DirectorBoard Member Oct 1, 2019
Theresa Gaffney Individual Corporate DirectorBoard Member Oct 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

Affiliated clinicians 821

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 821

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1174618953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863926",
            "telephone_number": "617-313-1214",
            "fax_number": "617-313-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REEDSDALE RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863926",
            "telephone_number": "617-313-1214",
            "fax_number": "617-313-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL DEACONESS HOSPITAL MILTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "RANGAVIZ",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "617-313-1350"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "282N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MA",
            "identifier": "MIL22220108",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INPT PROV #",
            "identifier": "903750",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROV #",
            "identifier": "900098",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS OP PROV #",
            "identifier": "900371",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000489",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.