DR. JOHN GEORGE DAMRATH IV MD, PHD
NPI 1033978663
Student in an Organized Health Care Education/Training Program in Boston, MA
About Dr. John George Damrath Iv Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN GEORGE DAMRATH IV MD, PHD (NPI 1033978663) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (PENDING) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John George Damrath Iv Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 John Damrath's NPI number?
The NPI number for John Damrath is 1033978663. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is John Damrath located?
John Damrath practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.
What is John Damrath's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is John Damrath enrolled in Medicare?
Yes. John Damrath is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Damrath was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. John George Damrath IV, MD, PHD · NPI 1033978663
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 18, 2024.
## Identity
- **NPI:** 1033978663 (Entity type: Individual)
- **Enumerated:** March 18, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** PENDING (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 726-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033978663) · Data from the CMS NPPES public registry.