DR. ANNE M STACK MD
NPI 1225096605
Pediatrics - Pediatric Emergency Medicine in Boston, MA
About Dr. Anne M Stack Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANNE M STACK MD (NPI 1225096605) is an individual pediatric emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (74040) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Anne M Stack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Anne Stack's NPI number?
The NPI number for Anne Stack is 1225096605. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Anne Stack located?
Anne Stack practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6624.
What is Anne Stack's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Anne Stack enrolled in Medicare?
Yes. Anne Stack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Anne Stack was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Anne M Stack, MD · NPI 1225096605
Pediatric Emergency Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1225096605 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 74040 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 14, 2007
- **Other identifiers:** Medicare ID-Type Unspecified ST J12708; Medicaid 3089890 (MA); Medicare UPIN F31627
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Source: [NPI Profile](https://npiprofile.com/npi/1225096605) · Data from the CMS NPPES public registry.