Individual provider Active NPI

Steven J Zivich, MD

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1841589231
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD453699 Issued in PA
Practice address
18 Newbury St FL 5
Boston, MA 02116-3246
Phone
(617) 304-1965
Fax
(617) 297-9913
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD453699 PA Primary

Addresses

Primary practice location

18 Newbury St FL 5
Boston, MA 02116-3246

Mailing address

18 Newbury St FL 5
Boston, MA 02116-3246
Phone (617) 304-1965

Other practice location 1

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 267-0900

Other practice location 2

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 267-0900

Other practice location 3

50 Commonwealth Ave Ste 2
Boston, MA 02116-3085
Phone (617) 304-1965

Other practice location 4

12 Clarendon St
Boston, MA 02116
Phone (617) 304-1965

Other practice location 5

376 Boylston St Ste 403
Boston, MA 02116-3826
Phone (617) 304-1965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD453699PAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1841589231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163246",
            "telephone_number": "617-304-1965",
            "fax_number": "617-297-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NEWBURY ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163246",
            "telephone_number": "617-304-1965",
            "fax_number": "617-297-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022154302",
            "country_code": "US",
            "telephone_number": "617-267-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022154302",
            "country_code": "US",
            "telephone_number": "617-267-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Commonwealth Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163085",
            "country_code": "US",
            "telephone_number": "617-304-1965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Clarendon St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02116",
            "country_code": "US",
            "telephone_number": "617-304-1965",
            "fax_number": "617-848-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 Boylston St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163826",
            "country_code": "US",
            "telephone_number": "617-304-1965",
            "fax_number": "617-297-9913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIVICH",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.