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MATTHEW SHAUGHNESSY MD
NPI 1003264854
Surgery - Pediatric Surgery in Boston, MA

Active since June 01, 2016PECOS Enrolled

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Shaughnessy Md NPPES

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

MATTHEW SHAUGHNESSY MD (NPI 1003264854) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (1022723) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2016).

NPPES Registry Identity

NPI1003264854
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMATTHEW SHAUGHNESSYCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2696 · (203) 785-7890
Phone(617) 726-8878
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateJune 1, 2016
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
✔ NPI 1003264854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MA · 1022723
Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 1022723 (MA)
55 FRUIT ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Shaughnessy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971897935
PECOS Enrollment IDI20251111001107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Matthew Shaughnessy's NPI number?

The NPI number for Matthew Shaughnessy is 1003264854. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Matthew Shaughnessy located?

Matthew Shaughnessy practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-8878.

What is Matthew Shaughnessy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Matthew Shaughnessy enrolled in Medicare?

Yes. Matthew Shaughnessy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Shaughnessy was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.