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

Q: 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.

Q: What is Chmc Otolaryngologic Foundation, Inc's specialty?

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

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: November 01, 2026.

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

On this page

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chmc Otolaryngologic Foundation, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 79 clinicians reassign Medicare billing to Chmc Otolaryngologic Foundation, Inc, which bills Medicare for the services they deliver. Of these, 46 practice at this address and 72 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Qualified Speech Language Pathologist30

Otolaryngology24

Qualified Audiologist17

Nurse Practitioner6

Clinical Psychologist2

Nearest to this location (20)

See all 79

Carolyn Adams, SLP

Qualified Speech Language Pathologist

NPI 1578113502

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Elsa Bucaj, SLP

Qualified Speech Language Pathologist

NPI 1154169324

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Jaimee Conmy, MS, CCC-SLP

Qualified Speech Language Pathologist

NPI 1548131089

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Shay Darcey, PNP

Nurse Practitioner

NPI 1518581354

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOSSame address

Cheryl Edwards, M.S.

Qualified Audiologist

NPI 1760453161

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6461

Same address

Michelle Howard, MS, CCC-SLP

Qualified Speech Language Pathologist

NPI 1386083772

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Hena Kazmi

Qualified Speech Language Pathologist

NPI 1053266759

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Abbie Kelly

Qualified Speech Language Pathologist

NPI 1649115098

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Jessica Kennen, CPNP

Nurse Practitioner

NPI 1417334129

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOSSame address

Greg Licameli, MD

Otolaryngology

NPI 1841263373

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-8851

✔ PECOS✔ Accepts MedicareSame address

Kristen Lord, CPNP

Nurse Practitioner

NPI 1669026050

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOSSame address

Isobel O'riordan, MD

Otolaryngology

NPI 1487326328

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOSSame address

Aiden Shearer, M.D., PH.D.

Otolaryngology

NPI 1457765224

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6462

✔ PECOSSame address

David Smith, M.D., PH.D.

Otolaryngology

NPI 1043453848

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOS✔ Accepts MedicareSame address

Lindsay Sobin, M.D.

Otolaryngology

NPI 1518278936

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

✔ PECOSSame address

Kate Mysak, CRNP

Nurse Practitioner

NPI 1801262050

300 LONGWOOD AVE # FEGAN9
Boston, MA 02115

(617) 355-7970

✔ PECOSSame address

Rita Garrido, AU.D., CCC-A, FAAA

Qualified Audiologist

NPI 1760613814

300 LONGWOOD AVE DEPT OF
Boston, MA 02115

(617) 355-6000

Same address

Christine Macdonald, AU.D., CCC-A

Qualified Audiologist

NPI 1760896955

300 LONGWOOD AVE
Boston, MA 02115

(781) 216-2207

Same address

Brett Radosti, AU. D.

Qualified Audiologist

NPI 1801308002

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

Yasmin Dever, AU.D

Qualified Audiologist

NPI 1700400421

300 LONGWOOD AVE
Boston, MA 02115

(617) 355-6000

Same address

See all 79 clinicians

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

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.

Is Chmc Otolaryngologic Foundation, Inc enrolled in Medicare?

Yes. Chmc Otolaryngologic Foundation, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chmc Otolaryngologic Foundation, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 5 Medicare specialties reassign their Medicare billing to Chmc Otolaryngologic Foundation, 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. The largest specialties are Qualified Speech Language Pathologist (30), Otolaryngology (24) and Qualified Audiologist (17). Of these, 46 practice at this address and 72 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10 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.