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CHMC OTOLARYNGOLOGIC FOUNDATION, INC
NPI 1124118229
Otolaryngology in Boston, MA

Active since October 13, 2006
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6460(617) 730-0611 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Jul 8, 2025 (2 updates tracked since 2025).

About Chmc Otolaryngologic Foundation, Inc NPPES

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

CHMC OTOLARYNGOLOGIC FOUNDATION, INC (NPI 1124118229) is a healthcare organization registered as an otolaryngology in Boston, Massachusetts and active in the NPI registry since October 2006. The organization lists Kathleen M Hickey, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1124118229
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHMC OTOLARYNGOLOGIC FOUNDATION, INC
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing AddressPo Box 4162Woburn, MA 01888-4162 · (617) 355-6460 · Fax (617) 730-0611
Phone(617) 355-6460
Fax(617) 730-0611
Organization SubpartNo
Authorized OfficialKathleen M HickeyProvider Enrollment Manager · (617) 355-4956
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1124118229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
300 LONGWOOD AVE, Boston, MA 02115
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Chmc Otolaryngologic Foundation, Inc's NPI number?

The NPI number for Chmc Otolaryngologic Foundation, Inc is 1124118229. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Chmc Otolaryngologic Foundation, Inc located?

Chmc Otolaryngologic Foundation, Inc is located at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6460.

What is Chmc Otolaryngologic Foundation, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

What insurance does Chmc Otolaryngologic Foundation, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Chmc Otolaryngologic Foundation, Inc 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 Chmc Otolaryngologic Foundation, Inc was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.