DR. DALE T UMETSU MD, PHD
NPI 1104916204
Pediatrics - Pediatric Allergy/Immunology in Boston, MA
About Dr. Dale T Umetsu Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DALE T UMETSU MD, PHD (NPI 1104916204) is an individual pediatric allergy/immunology provider in Boston, Massachusetts, licensed in Massachusetts (49852) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dale T Umetsu Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Dale Umetsu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Dale Umetsu's NPI number?
The NPI number for Dale Umetsu is 1104916204. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Dale Umetsu located?
Dale Umetsu practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6617.
What is Dale Umetsu's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.
Is Dale Umetsu enrolled in Medicare?
Yes. Dale Umetsu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dale Umetsu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Umetsu reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Pediatrics Associates (San Francisco, CA). Each 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 Dale Umetsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dale Umetsu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Dale T Umetsu, MD, PHD · NPI 1104916204
Pediatric Allergy/Immunology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1104916204 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Allergy/Immunology · taxonomy 2080P0201X
- **State license:** 49852 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN A53377
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Source: [NPI Profile](https://npiprofile.com/npi/1104916204) · Data from the CMS NPPES public registry.