PINE STREET INN - MEN'S CLINIC
NPI 1205080348
Clinic/Center - Federally Qualified Health Center (FQHC) in Boston, MA
About Pine Street Inn - Men's Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE STREET INN - MEN'S CLINIC (NPI 1205080348) is a healthcare organization registered as a federally qualified health center (fqhc) in Boston, Massachusetts and active in the NPI registry since November 2008. The organization lists Agnes W Leung, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Street Inn - Men's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
116Medicare enrollment records show 116 clinicians reassign Medicare billing to Pine Street Inn - Men's Clinic, which bills Medicare for the services they deliver. Of these, 111 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 116Boston, MA 02118
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 Boston Health Care For The Homeless Program, Inc.'s NPI number?
The NPI number for Boston Health Care For The Homeless Program, Inc. is 1205080348. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is also known as Pine Street Inn - Men's Clinic.
Where is Boston Health Care For The Homeless Program, Inc. located?
Boston Health Care For The Homeless Program, Inc. is located at 444 Harrison Ave, Boston, MA 02118. The listed phone number is (857) 654-1850.
What is Boston Health Care For The Homeless Program, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Boston Health Care For The Homeless Program, Inc. enrolled in Medicare?
Yes. Boston Health Care For The Homeless Program, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boston Health Care For The Homeless Program, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 14 Medicare specialties reassign their Medicare billing to Boston Health Care For The Homeless Program, 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 Nurse Practitioner (48), Internal Medicine (24) and Clinical Social Worker (14). Of these, 111 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boston Health Care For The Homeless Program, Inc. was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Pine Street Inn - Men's Clinic · NPI 1205080348
Federally Qualified Health Center (FQHC) organization in Boston, Massachusetts. Organization record, active in the CMS NPPES registry since November 14, 2008.
## Identity
- **NPI:** 1205080348 (Entity type: Organization)
- **Enumerated:** November 14, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Boston Health Care For The Homeless Program, Inc.
- **Organization subpart:** No
- **Authorized official:** Agnes Leung, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 444 HARRISON AVE, Boston, MA 02118
- **Phone:** (857) 654-1850 · **Fax:** (857) 654-1433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 116 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (48), Internal Medicine (24), Clinical Social Worker (14); 111 practice within 10 miles; [full list](https://npiprofile.com/npi/1205080348/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205080348) · Data from the CMS NPPES public registry.