Individual provider Active NPI

Peter Paul Anas, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Chestnut Hill, MA
National Provider Identifier
1669406351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
43687 Issued in MA
Practice address
830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503
Phone
(617) 734-2450
Fax
(617) 734-7804
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 43687 MA Primary

Addresses

Primary practice location

830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503

Mailing address

830 Boylston St
Suite 211
Chestnut Hill, MA 02467-2503
Phone (617) 734-2450

Other identifiers 2

IdentifierTypeStateIssuer
E05203OtherMABLUE CROSS BLUE SHIELD
712295OtherMATUFTS

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

State licenses

LicenseStateTypeSpecialty
43687MAMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669406351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 211",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-734-2450",
            "fax_number": "617-734-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 211",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-734-2450",
            "fax_number": "617-734-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAS",
        "first_name": "PETER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "43687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "E05203",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "712295",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.