DR. GRANVILLE LAKE BAXA MD
NPI 1255182861
Anesthesiology in Boston, MA

Q: What is Granville Baxa's NPI number?

The NPI number for Granville Baxa is 1255182861. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Granville Baxa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Granville Baxa was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 01, 2024PECOS Enrolled

750 ALBANY ST, BOSTON, MA 02118(617) 638-6950 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Apr 23, 2024, Apr 1, 2024 (3 updates tracked since 2024).

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About Dr. Granville Lake Baxa Md NPPES

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

DR. GRANVILLE LAKE BAXA MD (NPI 1255182861) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (3016241) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255182861

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. GRANVILLE LAKE BAXACredential: MD

Location Address750 ALBANY STBoston, MA 02118-2520

Mailing Address750 Albany StBoston, MA 02118-2520

Phone(617) 638-6950

Sole ProprietorNo

Enumeration DateApril 1, 2024

Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1255182861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MA · 3016241

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.

750 ALBANY ST, Boston, MA 02118

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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. Granville Lake Baxa 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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