Active NPI
Renata Mukai, MD
- Obstetrics & Gynecology Physician
- Boston, MA
National Provider Identifier
1215678412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1028612
- Practice address
- 850 Harrison Avenue, FL 4
Yawkey BLDG
Boston, MA 02118 - Phone
- (617) 414-2000
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1028612 | MA | Primary |
Addresses
Primary practice location
850 Harrison Avenue, FL 4
Yawkey BLDG
Boston, MA 02118
Mailing address
960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
Other practice location 1
725 Albany St, FL 5
Shapiro Bldg
Boston, MA 02118
Phone (617) 414-2000
Other practice location 2
820 S Wood St Ste 100
Chicago, IL 60612-4325
Phone (312) 996-2933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110238015A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220708001890 | IL | Order and Referring Only - Obstetrics/Gynecology | 2163802091 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- rmukai136429@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1215678412",
"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": "850 HARRISON AVENUE, FL 4",
"address_2": "YAWKEY BLDG",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-2000"
}
],
"practiceLocations": [
{
"address_1": "725 Albany St, FL 5",
"address_2": "Shapiro Bldg",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-414-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 S Wood St Ste 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKAI",
"first_name": "RENATA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "1028612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110238015A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.