DR. ELLEN STAEDTLER MD PHD
NPI 1215750682
Anesthesiology in Brighton, MA

Active since November 05, 2024PECOS Enrolled
736 CAMBRIDGE ST, BRIGHTON, MA 02135(617) 789-3000 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ellen Staedtler Md Phd NPPES

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

DR. ELLEN STAEDTLER MD PHD (NPI 1215750682) is an individual anesthesiology provider in Brighton, Massachusetts, licensed in Massachusetts (5001548) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215750682
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. ELLEN STAEDTLERCredential: MD PHD
Location Address736 CAMBRIDGE STBrighton, MA 02135
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118 · (617) 414-5405
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 5, 2024
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1215750682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 5001548
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.
736 CAMBRIDGE ST, Brighton, MA 02135

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Staedtler Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052885399
PECOS Enrollment IDI20260708000458
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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Staedtler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1 BOSTON MEDICAL CENTER PLACE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 716 clinicians in this Medicare group

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

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.

Internal Medicine
736 CAMBRIDGE ST, INTERNAL MEDICINE RESIDENCY PROGRAM - MAILBOX #13
BOSTON, MA 02135
Internal Medicine (Cardiovascular Disease)
736 CAMBRIDGE ST, DEPT. OF CARDIOLOGY
BRIGHTON, MA 02135
Psychiatry & Neurology (Psychiatry)
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BOSTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Student in an Organized Health Care Education/Training Program
736 CAMBRIDGE ST
BRIGHTON, MA 02135
Internal Medicine (Nephrology)
736 CAMBRIDGE ST, ST ELIZABETHS MED CTR
BOSTON, MA 02135
Pathology (Anatomic Pathology & Clinical Pathology)
736 CAMBRIDGE ST
BRIGHTON, MA 02135

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 Ellen Staedtler's NPI number?

The NPI number for Ellen Staedtler is 1215750682. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Where is Ellen Staedtler located?

Ellen Staedtler practices at 736 Cambridge St, Brighton, MA 02135. The listed phone number is (617) 789-3000.

What is Ellen Staedtler's specialty?

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

Is Ellen Staedtler enrolled in Medicare?

Yes. Ellen Staedtler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Staedtler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Staedtler reassigns Medicare benefits to Bmc Affiliated Physicians, Inc. (Boston, MA). The 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 Ellen Staedtler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Staedtler was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.