1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Pediatrics
  6. NPI Profile

DR. LARA WAHLSTER M.D. PH.D.
NPI 1255793907
Pediatrics - Pediatric Hematology-Oncology in Boston, MA

Active since March 22, 2016PECOS Enrolled
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-3270 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, Sep 9, 2019, Jun 29, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Lara Wahlster M.d. Ph.d. NPPES

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

DR. LARA WAHLSTER M.D. PH.D. (NPI 1255793907) is an individual pediatric hematology-oncology provider in Boston, Massachusetts, licensed in Massachusetts (283912) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1255793907
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. LARA WAHLSTERCredential: M.D. PH.D.
Location Address450 BROOKLINE AVEBoston, MA 02215-5418
Mailing Address450 Brookline Ave OfcBoston, MA 02215-5450 · (617) 632-3270 · Fax (617) 632-6570
Phone(617) 632-3270
Sole ProprietorYes
Enumeration DateMarch 22, 2016
Last NPPES UpdateJune 8, 20225 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1255793907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MA · 283912
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 267401 (MA)
450 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

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. Lara Wahlster M.d. Ph.d. 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.

PRABHSIMRANJOT SINGH MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-7956
SHAWN MAGUIRE PA-C
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-8487
KARINA FRANCA
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-2285
DR. SUZANNE JAQUETH FORREST M.D.
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3270
LAUREN KIRITSY MSW, LCSW
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-3448
OFIR WOLAJ MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Suffolk County (617) 632-6139
JASON BATALHA AGPCNP-BC
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-6140
FATIMA EMRAN AMIR MS, LGC
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3729

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 Lara Wahlster's NPI number?

The NPI number for Lara Wahlster is 1255793907. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Lara Wahlster located?

Lara Wahlster practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-3270.

What is Lara Wahlster's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Lara Wahlster enrolled in Medicare?

Yes. Lara Wahlster is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Wahlster was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.