Active NPI
Cheryl L Curtis, P.A. -C
- Surgical Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA18172
- Practice address
- 330 Brookline Ave # Shapiro7
Boston, MA 02215-5400 - Phone
- (617) 667-8800
- Fax
- (949) 650-1274
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA18172 | CA | Primary |
Addresses
Primary practice location
330 Brookline Ave # Shapiro7
Boston, MA 02215-5400
Mailing address
110 Francis St Ste 2a
Boston, MA 02215-5501
Phone (617) 632-8383
Other practice location 1
110 Francis St Ste 2A
Boston, MA 02215-5501
Phone (617) 632-8383
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330204983 0048 | Other | CA | CIGNA GROUP NUMBER |
| PA17172 | Other | CA | CA LICENSE |
| 330204983 | Other | CA | TAX ID |
| 330204983 0039 | Other | CA | CIGNA GROUP NUMBER |
| YYY49979Y | Other | CA | BLUE SHIELD |
| 0000000135 | Other | CA | GNP GROUP NUMBER |
| 019023 | Other | CA | GNP |
| 1750339479 | Other | CA | NPI GROUP NUMBER |
| GR002729 | Medicaid | CA |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000298 | MA | Practitioner - Physician Assistant | 9931123379 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
1 Deaconess Rd
Boston, MA 02215-5321
Phone (781) 983-9088
330 Brookline Ave
Boston, MA 02215-5400
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18172 | CA | MD | Pediatric Occupational Therapist |
| PA18172 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
110 Francis St
Ste 2A
Boston, MA 02215
Phone (617) 632-7390
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
330 Brookline Ave
#7
Boston, MA 02215
Phone (617) 632-7483
330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383
247 Station Dr
Ste NW1
Westwood, MA 02090
Phone (617) 754-1015
Interoperability endpoints
- ccurtis254567@direct.bilh.masshiway.net
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
MA
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
MA
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Vascular Surgery Physician
- Boston, MA
- NPI 1891736310
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
-
- Anesthesiology Physician
- Boston, MA
- NPI 1093756629
-
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
- NPI 1346281938
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
-
- Psychiatry Physician
- Boston, MA
- NPI 1770524373
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1972544591
-
- Neurology Physician
- Boston, MA
- NPI 1992745236
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1609934140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FRANCIS ST STE 2A",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155501",
"telephone_number": "617-632-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE # SHAPIRO7",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-8800",
"fax_number": "949-650-1274"
}
],
"practiceLocations": [
{
"address_1": "110 Francis St Ste 2A",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155501",
"country_code": "US",
"telephone_number": "617-632-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CURTIS",
"first_name": "CHERYL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "P.A. -C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA18172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP NUMBER",
"identifier": "330204983 0048",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "PA17172",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "330204983",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP NUMBER",
"identifier": "330204983 0039",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "YYY49979Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GNP GROUP NUMBER",
"identifier": "0000000135",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GNP",
"identifier": "019023",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP NUMBER",
"identifier": "1750339479",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002729",
"state": "CA"
}
],
"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 Jun 5, 2022; 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.