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MARK PUDER M.D.
NPI 1285671875
Surgery - Pediatric Surgery in Boston, MA

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE/FEGAN 3, CHILDREN'S HOSPITAL, BOSTON, MA 02115(617) 355-3038 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2023, Aug 10, 2023 (2 updates tracked since 2023).

About Mark Puder M.d. NPPES

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

MARK PUDER M.D. (NPI 1285671875) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (73855) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Vanderbilt University School Of Medicine (1986).

NPPES Registry Identity

NPI1285671875
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMARK PUDERCredential: M.D.
Location Address300 LONGWOOD AVE/FEGAN 3, CHILDREN'S HOSPITALBoston, MA 02115
Mailing Address300 Longwood Avenue, 3rd Floor Fegan Building, Boston Children's HospitalBoston, MA 02115 · (617) 355-1838
Phone(617) 355-3038
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1986
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1285671875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MA · 73855
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
300 LONGWOOD AVE/FEGAN 3, Boston, MA 02115
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Secondary Practice Location 1

Location 1960 Massachusetts Avenue, FL 2Boston, MA 02118 · Phone (617) 414-5405 ext. 2

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Puder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830097534
PECOS Enrollment IDI20031219000300
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.

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 Mark Puder's NPI number?

The NPI number for Mark Puder is 1285671875. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mark Puder located?

Mark Puder practices at 300 Longwood Ave/Fegan 3 Children's Hospital, Boston, MA 02115. The listed phone number is (617) 355-3038.

What is Mark Puder's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mark Puder enrolled in Medicare?

Yes. Mark Puder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Puder accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Puder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Puder was last updated on December 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.