FENWAY HEALTH
NPI 1003804725
Clinic/Center - Federally Qualified Health Center (FQHC) in Boston, MA
About Fenway Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FENWAY HEALTH (NPI 1003804725) is a healthcare organization registered as a federally qualified health center (fqhc) in Boston, Massachusetts and active in the NPI registry since October 2005. The organization lists Jeff Lieberman, Vp Finance & Administration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fenway Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
86Medicare enrollment records show 86 clinicians reassign Medicare billing to Fenway Health, which bills Medicare for the services they deliver. Of these, 52 practice at this address and 73 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 86Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fenway Community Health Center, Inc's NPI number?
The NPI number for Fenway Community Health Center, Inc is 1003804725. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Fenway Health.
Where is Fenway Community Health Center, Inc located?
Fenway Community Health Center, Inc is located at 1340 Boylston St, Boston, MA 02215. The listed phone number is (617) 927-4880.
What is Fenway Community Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Fenway Community Health Center, Inc enrolled in Medicare?
Yes. Fenway Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fenway Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 86 clinicians in 11 Medicare specialties reassign their Medicare billing to Fenway Community Health Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (24), Nurse Practitioner (18) and Internal Medicine (13). Of these, 52 practice at this address and 73 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fenway Community Health Center, Inc accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Fenway Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fenway Community Health Center, Inc was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fenway Health · NPI 1003804725
Federally Qualified Health Center (FQHC) organization in Boston, Massachusetts. Organization record, active in the CMS NPPES registry since October 6, 2005.
## Identity
- **NPI:** 1003804725 (Entity type: Organization)
- **Enumerated:** October 6, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Fenway Community Health Center, Inc
- **Organization subpart:** No
- **Authorized official:** Jeff Lieberman, VP FINANCE & ADMINISTRATION
## Practice location
- **Address:** 1340 BOYLSTON ST, Boston, MA 02215-4302
- **Phone:** (617) 927-4880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 86 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (24), Nurse Practitioner (18), Internal Medicine (13); 52 practice at this address and 73 within 10 miles; [full list](https://npiprofile.com/npi/1003804725/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2011
- **Other identifiers:** Medicaid 1303546 (MA); Medicare PIN Y10138 (MA); Medicare OSCAR/certification 221867 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1003804725) · Data from the CMS NPPES public registry.