SEAN DOHERTY PA-C
NPI 1043862568
Physician Assistant - Surgical in Boston, MA

Active since July 15, 2019PECOS Enrolled
725 ALBANY STREET, SHAPIRO 3, SUITE A, BOSTON, MA 02118(617) 414-4861(617) 414-3617 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2021, Nov 4, 2019, Oct 30, 2019 and 1 more (4 updates tracked since 2019).

About Sean Doherty Pa-c NPPES

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

SEAN DOHERTY PA-C (NPI 1043862568) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (PA7121) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043862568
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSEAN DOHERTYCredential: PA-C
Location Address725 ALBANY STREET, SHAPIRO 3, SUITE ABoston, MA 02118
Mailing Address801 Albany Street, Fl GroundBoston, MA 02119
Fax(617) 414-3617
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1043862568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA7121
Also ListedPhysician AssistantTaxonomy 363A00000X
725 ALBANY STREET, Boston, MA 02118

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sean Doherty Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Assistant
725 ALBANY STREET, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Psychiatry & Neurology (Vascular Neurology)
725 ALBANY STREET, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Neurological Surgery
725 ALBANY STREET, SHAPIRO 7, SUITE C
BOSTON, MA 02118
Internal Medicine (Rheumatology)
725 ALBANY STREET, SUITE 6B, SHAPIRO BLDG
BOSTON, MA 02118
Dermatology
725 ALBANY STREET, SHAPIRO 8
BOSTON, MA 02118
Internal Medicine
725 ALBANY STREET, SHAPIRO 5 & 6
BOSTON, MA 02118
Surgery (Plastic and Reconstructive Surgery)
725 ALBANY STREET, SUITE 8A, SHAPIRO BUILDING
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SHAPIRO PRIMARY CARE, PRECEPTING ROOM
BOSTON, MA 02118

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 Sean Doherty's NPI number?

The NPI number for Sean Doherty is 1043862568. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Sean Doherty located?

Sean Doherty practices at 725 Albany Street Shapiro 3, Suite A, Boston, MA 02118. The listed phone number is (617) 414-4861.

What is Sean Doherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sean Doherty enrolled in Medicare?

Yes. Sean Doherty is registered in the Medicare PECOS enrollment system.

What insurance does Sean Doherty accept?

Health plans from Anthem Blue Cross and Blue Shield list Sean Doherty 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 Sean Doherty was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.