Active NPI
Frederick Thurston Drake, M.D.
- Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 267345
- Practice address
- 720 Harrison Ave
Dob 503
Boston, MA 02118-2371 - Phone
- (617) 414-8060
- NPI assigned
- Aug 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML60020745 | WA | |
| Surgery Physician | 208600000X | 267345 | MA | Primary |
Addresses
Primary practice location
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Mailing address
830 Harrison Ave
Suite 3400
Boston, MA 02118-2905
Phone (617) 414-8060
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Utah School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-8605
11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
732 Harrison Ave
Boston, MA 02118-2309
732 Harrison Ave FL 3
Preston BLDG
Boston, MA 02118-2309
Phone (617) 638-7350
Hospital & facility affiliations
- Boston Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267345 | MA | MD | Surgery Physician |
| ML60020745 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University General Surgical Associates, Inc. | Surgery | Current | Accepting new patients |
| BMC Affiliated Physicians, Inc. | Surgery | Current | Accepting new patients |
| Boston University General Surgical Associates, Inc.-QMC | Current | Accepting new patients | |
| Boston Medical Center Corporation | Past | Accepting new patients |
Locations
732 Harrison Ave
Fl 5
Boston, MA 02118
Phone (617) 414-6840
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- fdrake95162@direct.bmc.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Boston, MA
- NPI 1104865567
-
- Podiatrist
- Quincy, MA
- NPI 1396041356
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1285880294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 HARRISON AVE",
"address_2": "SUITE 3400",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182905",
"telephone_number": "617-414-8060",
"fax_number": "617-414-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "FREDERICK",
"middle_name": "THURSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-09",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML60020745",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "267345",
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2016; 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.