PAUL K FADAKAR MD
NPI 1073803482
Pediatrics - Pediatric Nephrology in Boston, MA

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jun 23, 2025, Sep 26, 2021 and 2 more (5 updates tracked since 2017).

About Paul K Fadakar Md NPPES

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

PAUL K FADAKAR MD (NPI 1073803482) is an individual pediatric nephrology provider in Boston, Massachusetts, licensed in Massachusetts (290031) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Worcester, and is a graduate of University Of Connecticut School Of Medicine (2011).

NPPES Registry Identity

NPI1073803482
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NamePAUL K FADAKARCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2621
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1073803482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License Licensed in MA · 290031
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (774) 442-2131 · Fax (774) 441-8004

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 and accepts Medicare assignment

Paul K Fadakar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870868755
PECOS Enrollment IDI20220428002422
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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
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 Paul Fadakar's NPI number?

The NPI number for Paul Fadakar is 1073803482. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Paul Fadakar located?

Paul Fadakar practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2908.

What is Paul Fadakar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Paul Fadakar enrolled in Medicare?

Yes. Paul Fadakar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Fadakar accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Paul Fadakar 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 Paul Fadakar was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.