Ralph Gilliland Vetters, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

227788 Issued in MA

Practice address

1340 Boylston St
Boston, MA 02215-4302

Phone

(617) 247-7555

Fax

(617) 938-0033

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Harvard Medical School, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fenway Community Health Center, IncGroup PAC ID 0941299655, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rvetters21254@direct.ctc.masshiway.net

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.

• Fenway Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1003804725
  Medicare reassignment Care Compare group NPD
• Fenway Community Health Center, Inc

  • Pharmacist
  • Boston, MA
  • NPI 1275647505
  NPD
• Fenway Community Health Center, Inc

  • Internal Medicine Physician
  • Cambridge, MA
  • NPI 1689318503
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1427068873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154302",
            "telephone_number": "617-247-7555",
            "fax_number": "617-938-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154302",
            "telephone_number": "617-247-7555",
            "fax_number": "617-938-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTERS",
        "first_name": "RALPH",
        "middle_name": "GILLILAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "227788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "227788",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elton Veseli, MD
• Rhowena Vespa, RPH
• Shella Vetiac
• Christopher David Vetter, MD
• Martin W Vetter, M.D.
• Angeliki Vgontzas, M.D.
• Vha
• Kyle L Viani
• Pedro G Vianna, MD
• Bianca Viazzoli, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.