NPIMap

Organization Active NPI

Children's Hospital Corporation

Doing business as Boston Children's Hospital

  • Children's Hospital
  • Boston, MA
National Provider Identifier
1710087127
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
2139 Issued in MA
Legal business name
CHILDREN'S HOSPITAL CORPORATION
Doing business as
Boston Children's Hospital
Practice address
300 Longwood Ave
Boston, MA 02115-5724
Phone
(617) 355-6000
NPI assigned
Sep 25, 2006
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Kevin B Churchwell
Title
President and Ceo
Phone
(617) 355-7272

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Ambulatory Surgical Clinic/Center 261QA1903X 2139 MA
Dental Clinic/Center 261QD0000X NU
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 2139 MA
General Acute Care Hospital 282N00000X NU
Children's Hospital 282NC2000X 2139 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other names 1

  • Boston Children's Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070806000422 MA Part A Provider - Hospital 4082705082 Practice locations: Weymouth, MA; Waltham, MA; Peabody, MA; North Dartmouth, MA; Needham, MA; Jamaica Plain, MA; Brookline, MA; Boston, MA…
O20090209000424 MA Part B Supplier - Clinic/Group Practice 4082705082 Receives reassigned benefits from 3 practitioners
Practice locations: Weymouth, MA; Waltham, MA; Peabody, MA; North Dartmouth, MA; Needham, MA; Jamaica Plain, MA; Brookline, MA; Boston, MA…
O20111027000084 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 4082705082 Practice locations: Boston, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710087127. Details of each certification follow.

Hospital certification: CCN 223302

Legal name
CHILDREN'S HOSPITAL CORPORATION
Doing business as
BOSTON CHILDRENS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Oct 3, 1986
Last certification
Oct 16, 2012
Beds
395
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 13, 1982 in MA
Enrollment address
300 Longwood Ave
Boston, MA 21155724
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Children’s

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Children's Hospital Boston - DialysisCCN 222312
Ownership
Non-profit
Certified
Aug 5, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
7

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Care Compare: Hospital

Medicare Care Compare
Listed as
Boston Children's HospitalCCN 223302 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

300 Longwood Ave
#B
Boston, MA 02115

333 Longwood Ave
Fl 3
Boston, MA 02115
Phone (617) 355-6417

2 Brookline Pl
#12345
Brookline, MA 02445

2 Brookline Pl
Unit 1
Brookline, MA 02445

360 1st Ave
Needham Heights, MA 02494
Phone (401) 440-2825

500 Faunce Corner Rd
Ste 200
North Dartmouth, MA 02747
Phone (781) 216-2400

200 Libbey Park
Weymouth, MA 02189
Phone (781) 216-2642

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas M Vanderslice Individual Corporate OfficerTreasurer Jan 1, 2013
Carlos R Estrada Individual Corporate DirectorDirector Apr 1, 2025
Robert a Smith Individual Corporate OfficerVice Chairperson of Board Jan 22, 2019
Corporate Director Feb 1, 2000
Eugene Flood Individual Corporate Director Jan 28, 2025
Ralph C Martin Individual Corporate Director Feb 1, 2006
Samarth Kulkarni Individual Corporate Director Jan 28, 2025
Vivian Lee Individual Corporate Director Feb 3, 2021
Ryan D Nagy Individual Corporate DirectorDirector Feb 26, 2025
Alison Taunton-Rigby Individual Corporate Director Feb 1, 2002
Anthony Ryan Individual Corporate DirectorDirector Mar 25, 2025
Steven D Krichmar Individual Corporate Director Feb 1, 2014
Winston Henderson Individual Corporate Director Feb 1, 2010
James Mandell Individual Corporate DirectorDirector Apr 1, 2025
Allan S Bufferd Individual Corporate Director Feb 1, 2010
Paul E Pecoraro Individual W-2 Managing Employee Aug 1, 2021
Thomas Melendez Individual Corporate Director Feb 1, 2012
Christopher Viney Individual Corporate OfficerSecretary Apr 1, 2024
Willilam Pappendick Individual Corporate Director Feb 3, 2021
Kevin B Churchwell Individual Corporate OfficerPresident/Chief Executive Officer Apr 1, 2021
W-2 Managing EmployeePresident/Chief Executive Officer Apr 1, 2021
Ivor B Horn Individual Corporate Director Feb 3, 2021
Steven J Fishman Individual Corporate Director Jul 27, 2020
Harvey F Lodish Individual Corporate Director Feb 1, 2006
Laura J Wood Individual Corporate Director May 13, 2013
Lisa Wieland Individual Corporate Director Feb 3, 2021
Peter C Laussen Individual Corporate Director Feb 3, 2021
Gary W Loveman Individual Corporate Director Feb 1, 2006
Gary R Fleisher Individual Corporate Director Feb 1, 2002
Wendy Chung Individual Corporate Director Apr 1, 2024
Kathleen Regan Individual Corporate Director Feb 1, 2016
Douglas a Berthiaume Individual Corporate OfficerChairperson Jan 22, 2019
Corporate Director Feb 1, 2003
Robert S Langer Individual Corporate Director Feb 1, 2015
Stephen R Karp Individual Corporate Director Feb 1, 1989

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 371

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 371

Affiliated clinicians 263

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 263

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1710087127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "CHURCHWELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "617-355-7272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "2139",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MA",
            "license": "2139",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MA",
            "license": "2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.