JACQUELIN PECK M.D.
NPI 1205298650
Anesthesiology in Boston, MA

Active since March 24, 2016PECOS Enrolled

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2022, Mar 24, 2016 (2 updates tracked since 2016).

About Jacquelin Peck M.d. NPPES

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

JACQUELIN PECK M.D. (NPI 1205298650) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (287603) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205298650
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJACQUELIN PECKCredential: M.D.
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing AddressDepartment Of Surgery Health Science TowerStony Brook, NY 11794-8191 · (631) 444-1791 · Fax (631) 444-7689
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1205298650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in MA · 287603
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
55 FRUIT ST, Boston, MA 02114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelin Peck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981097102
PECOS Enrollment IDI20260218000855
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.

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Jacquelin Peck's NPI number?

The NPI number for Jacquelin Peck is 1205298650. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Jacquelin Peck located?

Jacquelin Peck practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Jacquelin Peck's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacquelin Peck enrolled in Medicare?

Yes. Jacquelin Peck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelin Peck was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.