Active NPI
Lauren Fedore Tracy, MD
- Otolaryngology Physician
- Boston, MA
National Provider Identifier
1508124405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 274115
- Practice address
- 830 Harrison Ave
Suite1400
Boston, MA 02118 - Phone
- (617) 638-8124
- Fax
- (919) 843-9361
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 274115 | MA | Primary |
Addresses
Primary practice location
830 Harrison Ave
Suite1400
Boston, MA 02118
Mailing address
830 Harrison Ave
Suite1400
Boston, MA 02118
Phone (617) 638-8124
Other practice location 1
170 Manning Dr
POB Building, Room G190
Chapel Hill, NC 27599-7070
Phone (919) 966-6484
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
- Otolaryngology
- Education
- Tufts University School of Medicine, 2012
- 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) 638-8485
830 Harrison Ave
Suite 1400
Boston, MA 02118-2905
Phone (617) 638-8124
Hospital & facility affiliations
- Boston Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274115 | MA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Bumc Otolaryngologic Foundation, Inc. | Otolaryngology | Current | Accepting new patients |
| Winchester Physician Associates, Inc | Current | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
1021 Main St
Ste 106
Winchester, MA 01890
Phone (781) 665-0215
Interoperability endpoints
- ltracy112869@direct.bmc.masshiway.net
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Boston, MA
- NPI 1942257159
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
-
- 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": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1508124405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 HARRISON AVE",
"address_2": "SUITE1400",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 HARRISON AVE",
"address_2": "SUITE1400",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-8124",
"fax_number": "919-843-9361"
}
],
"practiceLocations": [
{
"address_1": "170 Manning Dr",
"address_2": "POB Building, Room G190",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997070",
"country_code": "US",
"telephone_number": "919-966-6484",
"fax_number": "919-843-9361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACY",
"first_name": "LAUREN",
"middle_name": "FEDORE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "274115",
"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 Feb 7, 2020; 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.