Active NPI
Dana C Miskulin, MD
- Nephrology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 213820
- Practice address
- 800 Washington St
Box 391
Boston, MA 02111-1552 - Phone
- (617) 636-5866
- NPI assigned
- Jun 3, 2006
- Last updated
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 213820 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Box 391
Boston, MA 02111-1552
Mailing address
11 Chapel St
Somerville, MA 02144-1901
Phone (617) 628-0910
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213280 | Other | MA | TUFTS |
| 0026924 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 31-00287 | Other | MA | UNITED HEALTHCARE |
| 7356345 | Other | MA | AETNA/US HEALTHCA NON-HMO |
| J24821 | Other | MA | BLUE SHIELD INDEMNIT |
| J24821 | Other | MA | HMO BLUE / BLUE CARE ELEC |
| 04-2743894 | Other | MA | UNICARE |
| 10322 | Other | MA | HARVARD PILGRIM |
| 2809283 | Other | MA | AETNA/US HEALTHCARE |
| 1454175002 | Other | MA | CIGNA/HEALTHSOURCE PRATT |
| CIGNA SCP 5368325003 | Other | MA | CIGNA SCP |
| A34171 | Medicaid | MA | |
| HCVM TAX ID# 04-2743 | Other | MA | HCVM TAX ID# 04-2743894 |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 369-1400
585 Lebanon St
Melrose, MA 02176-3225
Phone (617) 636-5000
643 Broadway
Somerville, MA 02145-2528
Phone (617) 616-3600
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213820 | MA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Nephrology | Current | Accepting new patients |
| Pratt Medical Group, Inc | Current | Accepting new patients | |
| Pratt Medical Group, Inc | Nephrology | Past | Accepting new patients |
| Pratt Medical Group, Inc | Past | Accepting new patients | |
| Tufts Medical Center, Inc. | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
800 Washington St
#391
Boston, MA 02111
Phone (617) 636-2240
736 Cambridge St
#7
Brighton, MA 02135
Phone (617) 789-2588
Interoperability endpoints
- dmiskulin28801@tuftsmedicine.direct-ci.com
Organizations & group practices 6
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.
-
dba Pratt Medical Group, Inc-General Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1275570319
Nephrology
-
dba Pratt Medical Group, Inc - Gastroenterology
- Gastroenterology Physician
- Boston, MA
- NPI 1013237809
-
dba Pratt Medical Group, Inc - Pulmonary Disease
- Pulmonary Disease Physician
- Boston, MA
- NPI 1508187642
-
dba Pratt Medical Group, Inc - Nephrology
- Nephrology Physician
- Boston, MA
- NPI 1164743209
-
dba Pratt Orthopaedics Associates, Inc
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1184661225
-
dba Tufts Medical Center
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Somerville, MA
- NPI 1972536357
Dialysis facility
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
dba Tufts Medical Center
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1922046721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CHAPEL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441901",
"telephone_number": "617-628-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "BOX 391",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISKULIN",
"first_name": "DANA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "213820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "213280",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0026924",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "31-00287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCA NON-HMO",
"identifier": "7356345",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNIT",
"identifier": "J24821",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE / BLUE CARE ELEC",
"identifier": "J24821",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "04-2743894",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "10322",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "2809283",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/HEALTHSOURCE PRATT",
"identifier": "1454175002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA SCP",
"identifier": "CIGNA SCP 5368325003",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A34171",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM TAX ID# 04-2743894",
"identifier": "HCVM TAX ID# 04-2743",
"state": "MA"
}
],
"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 Feb 1, 2013; 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.