Individual provider Active NPI

Martha C. Sola-Visner, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Boston, MA
National Provider Identifier
1205880614
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
233282 Issued in MA
Practice address
300 Longwood Ave
Enders Research Building, RM. 961
Boston, MA 02115-5724
Phone
(617) 919-4845
Fax
(617) 730-0260
NPI assigned
May 20, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 233282 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Enders Research Building, RM. 961
Boston, MA 02115-5724

Mailing address

79 Falcon St
Needham, MA 02492-4045
Phone (352) 219-2707

Other identifiers 1

IdentifierTypeStateIssuer
1014982660001MedicaidPA

Other names 1

  • Martha C. Sola Other name

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
I20071001000127 MA Practitioner - Pediatric Medicine 9537176714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233282MAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatric Associates, Inc CurrentSince Apr 1, 2013 Accepting new patients
SCHC Pediatric Associates, LLC Neonatal-Perinatal Medicine Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

300 Longwood Ave
Rm 961
Boston, MA 02115
Phone (617) 919-4845

Interoperability endpoints

  • Direct secure messaging: msolavisner26894@direct.bostonchildrens.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1205880614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FALCON ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924045",
            "telephone_number": "352-219-2707",
            "fax_number": "617-730-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "ENDERS RESEARCH BUILDING, RM. 961",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-919-4845",
            "fax_number": "617-730-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLA-VISNER",
        "first_name": "MARTHA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MA",
            "license": "233282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014982660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "SOLA",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.