Individual provider Active NPI

Sumner A Slavin, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Chestnut Hill, MA
National Provider Identifier
1932148939
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
37904 Issued in MA
Practice address
200 Boylston St Ste 307
Chestnut Hill, MA 02467-2008
Phone
(617) 558-7010
Fax
(617) 558-7001
NPI assigned
Jun 5, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 37904 MA Primary

Addresses

Primary practice location

200 Boylston St Ste 307
Chestnut Hill, MA 02467-2008

Mailing address

200 Boylston St Ste 307
Chestnut Hill, MA 02467-2008
Phone (617) 558-7010

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907000219 MA Practitioner - Plastic and Reconstructive Surgery 9436181807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Vermont College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Boylston St
Suite 307
Chestnut Hill, MA 02467-2008
Phone (617) 558-7010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37904MAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Hill Plastic and Aesthetic Surgery Associates, LLC Plastic and Reconstructive Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

200 Boylston St
Ste 307
Chestnut Hill, MA 02467
Phone (617) 558-7010

Interoperability endpoints

  • Direct secure messaging: sslavin253651@direct.bilh.masshiway.net

Organizations & group practices 1

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 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1932148939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST STE 307",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672008",
            "telephone_number": "617-558-7010",
            "fax_number": "617-558-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST STE 307",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672008",
            "telephone_number": "617-558-7010",
            "fax_number": "617-558-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "SUMNER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "37904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.