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SIAM OOTTAMASATHIEN MD
NPI 1215084017
Urology - Pediatric Urology in Boston, MA

Active since January 04, 2007PECOS Enrolled

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Siam Oottamasathien Md NPPES

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

SIAM OOTTAMASATHIEN MD (NPI 1215084017) is an individual pediatric urology provider in Boston, Massachusetts, licensed in Utah (6513463-1205) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1999).

NPPES Registry Identity

NPI1215084017
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameSIAM OOTTAMASATHIENCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 724-0327
Phone(617) 724-0327
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1999
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 5, 2017
✔ NPI 1215084017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in UT · 6513463-1205
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 6513463-1205 (UT)
55 FRUIT ST, Boston, MA 02114
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siam Oottamasathien Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42304107
PECOS Enrollment IDI20180115000406
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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Siam Oottamasathien's NPI number?

The NPI number for Siam Oottamasathien is 1215084017. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Siam Oottamasathien located?

Siam Oottamasathien practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-0327.

What is Siam Oottamasathien's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Siam Oottamasathien enrolled in Medicare?

Yes. Siam Oottamasathien is registered in the Medicare PECOS enrollment system.

What insurance does Siam Oottamasathien accept?

Health plans from Anthem Blue Cross and Blue Shield list Siam Oottamasathien 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 Siam Oottamasathien was last updated on December 5, 2017. 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.