Individual provider Active NPI

Murat A Avadikoglu, M.D.

  • Anesthesiology Physician
  • Waltham, MA
National Provider Identifier
1174644231
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
29797 Issued in MA
Practice address
1440 Main St
Surgisite Boston
Waltham, MA 02451-1630
Phone
(781) 891-9300
Fax
(781) 891-9305
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29797 MA Primary

Addresses

Primary practice location

1440 Main St
Surgisite Boston
Waltham, MA 02451-1630

Mailing address

26 Union Wharf
Boston, MA 02109-1202
Phone (617) 367-8331

Other identifiers 1

IdentifierTypeStateIssuer
29797OtherMAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1174644231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 UNION WHARF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091202",
            "telephone_number": "617-367-8331",
            "fax_number": "617-367-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MAIN ST",
            "address_2": "SURGISITE BOSTON",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511630",
            "telephone_number": "781-891-9300",
            "fax_number": "781-891-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVADIKOGLU",
        "first_name": "MURAT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "29797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "29797",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.