David Alan Nicolai, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

253054 Issued in MA

Practice address

330 Brookline Ave
Department of Anesthesiology
Boston, MA 02215-5400

Phone

(617) 990-7588

NPI assigned

Jun 11, 2008

Last updated

Nov 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Anesthesiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Anesthesia Network LLPGroup PAC ID 5698689123, 516 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gillette Childrens Specialty Hospital Hospital, Saint Paul, MN, CCN 243300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Metropolitan Anesthesia Network, LLP

  • Anesthesiology Physician
  • Plymouth, MN
  • NPI 1558314427
  Medicare reassignment Care Compare group NPD

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

• Gillette Children's Specialty Healthcare

  • Customized Equipment (DME)
  • Mankato, MN
  • NPI 1295145902

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1447352836
  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1477612604

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Maple Grove, MN
  • NPI 1730363698

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Healthcare-Burnsville

  • Multi-Specialty Clinic/Center
  • Burnsville, MN
  • NPI 1740349042

  Hospital

  Care Compare affiliation
• Gillette Children's Specialty Healthcare

  dba Gillette Children's Heathcare St Paul

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1851450894

  Hospital

  Care Compare affiliation
• Gillette Childrens Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1760541700

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1225298508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-990-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-990-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAI",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "253054",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MA",
            "license": "253054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Nickel, MD
• Alana Nicker
• Alex Adams Nickerson
• Graham R Nickerson, DDS
• Peyton Nickerson
• Camille H Nicolas Frank, MD, PHD
• Nicolas Marcotte LLC
• Corinne G Nicolas
• Michael Wassim Nicolas, CNP
• Nicole Charos PLLC

• Anesthesiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Anesthesiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.

Verify at the official NPI Registry.