NPIMap

Individual provider Active NPI

Peter C Enzinger, DR

  • Medical Oncology Physician
  • Boston, MA
National Provider Identifier
1710954391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
160952 Issued in MA
Practice address
44 Binney St
Dana-Farber Cancer Inst
Boston, MA 02115-6013
Phone
(617) 632-6855
Fax
(617) 632-5370
NPI assigned
Mar 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Medical Oncology Physician 207RX0202X 160952 MA Primary

Addresses

Primary practice location

44 Binney St
Dana-Farber Cancer Inst
Boston, MA 02115-6013

Mailing address

11 Dane St
Jamaica Plain, MA 02130
Phone (617) 632-6855

Other identifiers 7

IdentifierTypeStateIssuer
2533518OtherAETNA US HEALTHCARE
51279OtherFALLON COMMUNITY HEALTH P
3197034OtherMAMASSHEALTH
J21466OtherMASSACHUSETTS BCBS
14930OtherHPHC
406922OtherTUFTS
3147617OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101013001175 MA Practitioner - Medical OncologyPractitioner - Internal Medicine 8729270335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

450 Brookline Ave
Boston, MA 02215-5418

450 Brookline Ave
Boston, MA 02215-5450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
65.04
Promoting interoperability
100
Improvement activities
40
Cost
69.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160952MAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince Jul 14, 1999 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 14, 1999 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 14, 1999 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

44 Binney St
Boston, MA 02115
Phone (617) 632-3591

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

450 Brookline Ave
#204
Boston, MA 02215
Phone (617) 632-3252

Interoperability endpoints

  • Direct secure messaging: enzinger.peter.dfci@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710954391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DANE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-632-6855",
            "fax_number": "617-632-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY ST",
            "address_2": "DANA-FARBER CANCER INST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156013",
            "telephone_number": "617-632-6855",
            "fax_number": "617-632-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZINGER",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "160952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2533518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH P",
            "identifier": "51279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "3197034",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BCBS",
            "identifier": "J21466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "14930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "406922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3147617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.