Individual provider Active NPI

Anita L Kostecki, M.D.

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1295710119
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
78341 Issued in MA
Practice address
1 Boston Medical Ctr PL
Dowling 5TH FL
Boston, MA 02118-2908
Phone
(617) 414-4465
Fax
(617) 414-3345
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 78341 MA Primary

Addresses

Primary practice location

1 Boston Medical Ctr PL
Dowling 5TH FL
Boston, MA 02118-2908

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 000-9999

Other practice location 1

850 Harrison Ave, FL 4
Yawkey Bldg
Boston, MA 02118-4001
Phone (617) 414-2080

Other practice location 2

14 Prospect St
Milford, MA 01757-3003
Phone (508) 473-1190

Other identifiers 1

IdentifierTypeStateIssuer
110090715AMedicaidMA

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
I20091214000640 MA Practitioner - Family Practice 0244370740 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward M Kennedy Community Health Center IncGroup PAC ID 3476512740, 65 clinicians

Practice addresses (Care Compare)

19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 852-1805

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Family Medicine, Inc. Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Child Health Foundation of Boston, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Milford Regional Physician Group, Inc. Family Medicine Current Accepting new patients
Milford Regional Physician Group, Inc. Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine Current Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Oct 12, 2009 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Oct 12, 2009 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000

850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000

1 Boston Medical Ctr Pl
Fl 5
Boston, MA 02118
Phone (617) 414-3345

850 Harrison Ave
#5
Boston, MA 02118
Phone (617) 414-2000

850 Harrison Ave
Fl 4
Boston, MA 02118
Phone (617) 414-2000

41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

Interoperability endpoints

  • Direct secure messaging: akostecki96526@direct.bmc.masshiway.net
  • Direct secure messaging: kostecki.anita.mrmc@direct.partners.masshiway.net
  • Direct secure messaging: anita.kostecki.p1@direct.emkchc.nextgenshare.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1295710119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-000-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "address_2": "DOWLING 5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-4465",
            "fax_number": "617-414-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Harrison Ave, FL 4",
            "address_2": "Yawkey Bldg",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184001",
            "country_code": "US",
            "telephone_number": "617-414-2080",
            "fax_number": "617-414-2090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017573003",
            "country_code": "US",
            "telephone_number": "508-473-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTECKI",
        "first_name": "ANITA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "78341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110090715A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.