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BAY STATE UROLOGISTS INC
NPI 1114928579
Urology in Watertown, MA

Active since August 09, 2005CLIA 22D0885307 · Microscopy
521 MOUNT AUBURN ST STE 201, WATERTOWN, MA 02472(617) 926-1200(617) 926-5195 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bay State Urologists Inc NPPES

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

BAY STATE UROLOGISTS INC (NPI 1114928579) is a healthcare organization registered as an urology in Watertown, Massachusetts and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through April 18, 2028 and lists Henry David Mitcheson, President, as its authorized official.

NPPES Registry Identity

NPI1114928579
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBAY STATE UROLOGISTS INC
Location Address521 MOUNT AUBURN ST STE 201Watertown, MA 02472-4153
Mailing Address521 Mount Auburn St Ste 201Watertown, MA 02472-4153 · (617) 926-1200 · Fax (617) 926-5195
Phone(617) 926-1200
Fax(617) 926-5195
Organization SubpartNo
Authorized OfficialHenry David MitchesonPresident · (617) 782-1200
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1114928579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
521 MOUNT AUBURN ST STE 201, Watertown, MA 02472
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Other Identifiers 1

Medicaid9723749MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay State Urologists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bay State Urologists Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Henry Mitcheson, MD
Urology
NPI 1609878065
521 MOUNT AUBURN ST STE 201
Watertown, MA 02472
(617) 926-1200
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0885307

Bay State Urologists Inc · Watertown, MA
Active · expires Apr 18, 2028
CLIA Number22D0885307
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorH David Mitcheson MD
Laboratory Phone(617) 926-1200
Laboratory LocationBay State Urologists Inc521 Mt Auburn St #201, Watertown, MA 02472
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bay State Urologists Inc's NPI number?

The NPI number for Bay State Urologists Inc is 1114928579. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Bay State Urologists Inc located?

Bay State Urologists Inc is located at 521 Mount Auburn St Ste 201, Watertown, MA 02472. The listed phone number is (617) 926-1200.

What is Bay State Urologists Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Bay State Urologists Inc enrolled in Medicare?

Yes. Bay State Urologists Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay State Urologists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Bay State Urologists Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bay State Urologists Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0885307) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay State Urologists Inc was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.