Active NPI
Stuart B Bauer, MD
- Urology Physician
- Boston, MA
National Provider Identifier
1528045804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 36354
- Practice address
- 300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724 - Phone
- (617) 355-8338
- Fax
- (617) 730-0474
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 36354 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724
Mailing address
300 Longwood Ave
Childrens Urological Foundation
Boston, MA 02115-5724
Phone (617) 355-8338
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2035332 | Medicaid | MA | |
| 30011521 | Other | WNH | |
| 8372441001 | Other | CIG2 | |
| 994719 | Other | NETHE | |
| 1900234 | Other | UHP | |
| Z11048 | Other | HEALT | |
| 1900234 | Other | UNI4 | |
| 702871 | Other | TUFTS | |
| 1006644 | Other | WVT | |
| 101565278 | Other | CHA | |
| 11273 | Other | HNE | |
| 000000009227 | Other | BMC | |
| 1900234 | Other | UNI1 | |
| 0012835 | Other | NHP | |
| 1900234 | Other | METRA | |
| 1900234 | Other | UNI7 | |
| 36173 | Other | FCHP | |
| AA8296 | Other | HPHC | |
| P2697366 | Other | OXFORD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Urological Foundation | Urology | Current | Accepting new patients |
| Childrens Hospital Boston | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
Interoperability endpoints
- sbauer21927@direct.bostonchildrens.org
Organizations & group practices 2
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.
-
- Urology Physician
- Boston, MA
- NPI 1144234055
-
- Children's Hospital
- Boston, MA
- NPI 1770741530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1528045804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDRENS UROLOGICAL FOUNDATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-8338",
"fax_number": "617-730-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDRENS UROLOGICAL FOUNDATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-8338",
"fax_number": "617-730-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "STUART",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "36354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2035332",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WNH",
"identifier": "30011521",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIG2",
"identifier": "8372441001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETHE",
"identifier": "994719",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP",
"identifier": "1900234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALT",
"identifier": "Z11048",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI4",
"identifier": "1900234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "702871",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WVT",
"identifier": "1006644",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "101565278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "11273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000009227",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI1",
"identifier": "1900234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0012835",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRA",
"identifier": "1900234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNI7",
"identifier": "1900234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "36173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA8296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2697366",
"state": null
}
],
"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 Sep 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.