Individual provider Active NPI

Scott G Prushik, M.D.

  • Vascular Surgery Physician
  • Boston, MA
National Provider Identifier
1477660058
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
226428 Issued in MA
Practice address
Boston Medican Center
One Boston Medical Center Place
Boston, MA 02118
Phone
(617) 638-8630
NPI assigned
Aug 23, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 226428 MA Primary
Surgery Physician 208600000X 226428 MA

Addresses

Primary practice location

Boston Medican Center
One Boston Medical Center Place
Boston, MA 02118

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

190 Groton Rd Ste 170
Ayer, MA 01432-1189
Phone (617) 789-2375

Other practice location 2

732 Harrison Avenue, 3rd Floor West
Preston Bldg.
Boston, MA 02118-2309
Phone (617) 638-8488

Other practice location 3

736 Cambridge St Fl 8
Brighton, MA 02135-2907
Phone (617) 789-3309

Other practice location 4

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Other identifiers 1

IdentifierTypeStateIssuer
110092410AMedicaidMA

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
I20120801000009 MA Practitioner - Vascular Surgery 4688830938 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

11 Nevins St
Brighton, MA 02135-3514
Phone (617) 779-6700

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226428MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. Surgery CurrentSince Apr 1, 2025 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 9, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 9, 2012 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Boston Medical Center - Brighton Corporation Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

190 Groton Rd
Ste 170
Ayer, MA 01432
Phone (978) 772-2600

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

736 Cambridge St
Fl 8
Brighton, MA 02135
Phone (617) 789-3309

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2110 Dorchester Ave
Ste 207
Dorchester, MA 02124
Phone (617) 296-4709

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

15 Roche Brothers Way
Ste 110
North Easton, MA 02356
Phone (781) 792-6500

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

Interoperability endpoints

  • Direct secure messaging: scott.prushik.1@2017.direct.athenahealth.com
  • Direct secure messaging: sprushik252363@direct.bmc.masshiway.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1477660058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "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": "BOSTON MEDICAN CENTER",
            "address_2": "ONE BOSTON MEDICAL CENTER PLACE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Groton Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Ayer",
            "state": "MA",
            "postal_code": "014321189",
            "country_code": "US",
            "telephone_number": "617-789-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Harrison Avenue, 3rd Floor West",
            "address_2": "Preston Bldg.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182309",
            "country_code": "US",
            "telephone_number": "617-638-8488",
            "fax_number": "617-638-8469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-789-3309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSHIK",
        "first_name": "SCOTT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "226428",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "226428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110092410A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.