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DR. ANNE M STACK MD
NPI 1225096605
Pediatrics - Pediatric Emergency Medicine in Boston, MA

Active since May 03, 2006PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6624 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1225096605
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. ANNE M STACKCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6624
Phone(617) 355-6624
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1225096605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MA · 74040
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 74040 (MA)
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedST J12708
Medicaid3089890MA
Medicare UPINF31627

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).

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.

MRS. KIRA A DIES SCM
Genetic Counselor, MS
300 LONGWOOD AVE, CLS 14074
BOSTON, MA 02115
Suffolk County (617) 919-3009
DR. PETER H WEINSTOCK MD PHD
Pediatrics (Pediatric Critical Care Medicine)
300 LONGWOOD AVE, DIVISION OF CRITICAL CARE MEDICINE
BOSTON, MA 02115
Suffolk County (617) 355-7327
DR. HENRY LAWRENCE DORKIN MD
Pediatrics (Pediatric Pulmonology)
300 LONGWOOD AVE, HUNNEWELL 2
BOSTON, MA 02115
Suffolk County (617) 355-1900
DR. JOAN MARILYN STOLER MD
Medical Genetics (Clinical Genetics (M.D.))
300 LONGWOOD AVE, CHILDREN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 355-4697
DR. BONNIE L PADWA DMD, MD
Oral & Maxillofacial Surgery
300 LONGWOOD AVE, HU-158
BOSTON, MA 02115
Suffolk County (617) 355-6259
DR. HARVEY LOUIS LEVY MD
Medical Genetics (Clinical Biochemical Genetics)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7346
WAYNE TWORETZKY MD
Pediatrics (Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6793
DAVID BROWN MD
Pediatrics (Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7893

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 with the weekly NPPES data releases published by CMS.