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BETH ISRAEL DEACONESS MEDICAL CENTER
NPI 1003060955
Chronic Disease Hospital - Children in Boston, MA

Active since November 05, 2008CLIA Certified · 7 labs
330 BROOKLINE AVE, BOSTON, MA 02215(617) 677-4042 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Beth Israel Deaconess Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETH ISRAEL DEACONESS MEDICAL CENTER (NPI 1003060955) is a healthcare organization registered as a children in Boston, Massachusetts and active in the NPI registry since November 2008. The organization holds 7 active CLIA laboratory certificates and lists Stephen Deveau, Controller & Director, Fiscal Servi, as its authorized official.

NPPES Registry Identity

NPI1003060955
Entity TypeOrganization
Primary Taxonomy281PC2000X
Legal Business NameBETH ISRAEL DEACONESS MEDICAL CENTER
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400
Phone(617) 677-4042
Organization SubpartNo
Authorized OfficialStephen DeveauController & Director, Fiscal Servi · (617) 667-0003
Enumeration DateNovember 5, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003060955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChronic Disease Hospital · ChildrenHospitals
Taxonomy Code281PC2000X
330 BROOKLINE AVE, Boston, MA 02215
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CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 22D2156408

Beth Israel Deaconess Medical Center- Molecular Diagnostics · Boston, MA
Active · expires Feb 26, 2027
CLIA Number22D2156408
Laboratory TypeHospital
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorDr. James E. Kirby
Laboratory Phone(617) 667-2342
Laboratory LocationBeth Israel Deaconess Medical Center- Molecular Diagnostics330 Brookline Avenue Finard 204, Boston, MA 02215
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 22D0002138

Beth Israel Deaconess Medical Center/East · Boston, MA
Active · expires Jan 2, 2027
CLIA Number22D0002138
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Lynne Uhl
Laboratory Phone(617) 667-2342
Laboratory LocationBeth Israel Deaconess Medical Center/East330 Brookline Ave, Boston, MA 02215
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 22D2110019

Beth Israel Deaconess Medical Center - East Ap · Boston, MA
Active · expires Sep 20, 2026
CLIA Number22D2110019
Laboratory TypeHospital
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDr. Michiya Nishino
Laboratory Phone(617) 667-2342
Laboratory LocationBeth Israel Deaconess Medical Center - East Ap330 Brookline Ave, Boston, MA 02215
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 22D1029770

Beth Israel Deaconess Medical Center Pathology Dept-Multi · Boston, MA
Active · expires Aug 23, 2026
CLIA Number22D1029770
Laboratory TypeFenway Park First Aid Sta
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorEdward R. Ullman
Laboratory Phone(617) 667-2414
Laboratory LocationBeth Israel Deaconess Medical Center Pathology Dept-Multi330 Brookline Avenue Ya-309, Boston, MA 02215
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 22D2320507

Beth Israel Deaconess Med Ctr/Poct East · Boston, MA
Active · expires May 20, 2027
CLIA Number22D2320507
Laboratory TypeHospital
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorDr. Stefan Riedel
Laboratory Phone(617) 667-4438
Laboratory LocationBeth Israel Deaconess Med Ctr/Poct East330 Brookline Avenue, Finard 201, Boston, MA 02215
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 22D2110068

Beth Israel Deaconess Medical Center - West Ap · Boston, MA
Active · expires Apr 24, 2028
CLIA Number22D2110068
Laboratory TypeHospital
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorDr. Michiya Nishino
Laboratory Phone(617) 667-2342
Laboratory LocationBeth Israel Deaconess Medical Center - West Ap1 Deaconess Rd, Boston, MA 02215
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. ELIZABETH MAIER BALOUGH MD, PHD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beth Israel Deaconess Medical Center's NPI number?

The NPI number for Beth Israel Deaconess Medical Center is 1003060955. It was assigned to this organization in the NPPES registry on November 5, 2008.

Where is Beth Israel Deaconess Medical Center located?

Beth Israel Deaconess Medical Center is located at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 677-4042.

What is Beth Israel Deaconess Medical Center's specialty?

The primary specialty registered for this NPI is Chronic Disease Hospital, specializing in Children, with taxonomy code 281PC2000X.

Does Beth Israel Deaconess Medical Center hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Beth Israel Deaconess Medical Center was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.