DR. DALE T UMETSU MD, PHD
NPI 1104916204
Pediatrics - Pediatric Allergy/Immunology in Boston, MA

Q: 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.

Q: What is Dale Umetsu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Q: When was this NPI record last updated?

The NPPES record for Dale Umetsu was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 13, 2006PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6617 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1104916204

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameDR. DALE T UMETSUCredential: MD, PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address522 Dudley RdNewton, MA 02459-2809 · (617) 527-2892

Phone(617) 355-6617

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104916204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in MA · 49852

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

300 LONGWOOD AVE, Boston, MA 02115

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Other Identifiers 1

Medicare UPINA53377

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. Dale T Umetsu Md, Phd 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.