Active NPI
Christina Vestergaard Scirica, MD
- Pediatric Pulmonology Physician
- Boston, MA
National Provider Identifier
1518957752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 215952
- Practice address
- 275 Cambridge St., Ste 530
Mass General Hospital for Children
Boston, MA 02114-3130 - Phone
- (617) 726-8707
- Fax
- (617) 724-2803
- NPI assigned
- Oct 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 215952 | MA | |
| Pediatric Pulmonology Physician | 2080P0214X | 215952 | MA | Primary |
Addresses
Primary practice location
275 Cambridge St., Ste 530
Mass General Hospital for Children
Boston, MA 02114-3130
Mailing address
PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 726-8707
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001853 | Medicaid | MA | |
| J25803 | Other | MA | BCBS MA |
| 215952 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1518957752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-726-8707",
"fax_number": "617-724-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CAMBRIDGE ST., STE 530",
"address_2": "MASS GENERAL HOSPITAL FOR CHILDREN",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143130",
"telephone_number": "617-726-8707",
"fax_number": "617-724-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIRICA",
"first_name": "CHRISTINA",
"middle_name": "VESTERGAARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "215952",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MA",
"license": "215952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2001853",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J25803",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "215952",
"state": "MA"
}
],
"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 May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.