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ALISA LOUISE NIKSCH MD
NPI 1336232255
Pediatrics - Pediatric Cardiology in Boston, MA

Active since October 02, 2006PECOS Enrolled
750 WASHINGTON ST, THE FLOATING HOSPITAL FOR CHILDREN, #313, BOSTON, MA 02111(617) 636-5067(617) 636-2354 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alisa Louise Niksch Md NPPES

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

ALISA LOUISE NIKSCH MD (NPI 1336232255) is an individual pediatric cardiology provider in Boston, Massachusetts, licensed in Massachusetts (243747) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336232255
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameALISA LOUISE NIKSCHCredential: MD
Location Address750 WASHINGTON ST, THE FLOATING HOSPITAL FOR CHILDREN, #313Boston, MA 02111-1526
Mailing Address750 Washington St, The Floating Hospital For Children, #313Boston, MA 02111-1526 · (617) 636-5067 · Fax (617) 636-2354
Phone(617) 636-5067
Fax(617) 636-2354
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1336232255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in MA · 243747✔ Licensed in IL · 036116468
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
750 WASHINGTON ST, Boston, MA 02111
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Other Identifiers 2

Medicaid243747MA
Medicaid036116468IL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa Louise Niksch 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.

Medicare Billing Reassignment

Medicare enrollment records show Alisa Niksch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pratt Pediatric Associates Inc
Same address
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group
NPI 1477590511 (617) 636-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KEIKO UEDA MPH, RD, LDN
Dietitian, Registered
750 WASHINGTON ST, TNEMC BOX#434
BOSTON, MA 02111
Suffolk County (617) 636-5458
COLLEEN MCARTOR CRNA
Nurse Anesthetist, Certified Registered
750 WASHINGTON ST, NEMC BOX #7105
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. KATHLEEN BUNGAY PHARMD, MS
Pharmacist (Psychiatric)
750 WASHINGTON ST, THE HEALTH INSTITUTE, BOX 345
BOSTON, MA 02111
Suffolk County (617) 636-3292
ALEXIS MADEJ M.S., R.D., L.D.N.
Dietitian, Registered
750 WASHINGTON ST, FRANCES STERN NUTRITION CENTER
BOSTON, MA 02111
Suffolk County (617) 636-5273
DR. NADINE YOUSSEF M.D.
Emergency Medicine
750 WASHINGTON ST, BOX 311 / DEPARTMENT OF EMERGENCY MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-4723
DR. GORDON M SAPERIA MD
Internal Medicine (Interventional Cardiology)
750 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
ANBUKILI K. CHETTY M.D.
Pediatrics (Pediatric Pulmonology)
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000
KATIE WAKELEY M.D.
Obstetrics & Gynecology
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000

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 Alisa Niksch's NPI number?

The NPI number for Alisa Niksch is 1336232255. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Alisa Niksch located?

Alisa Niksch practices at 750 Washington St The Floating Hospital For Children, #313, Boston, MA 02111. The listed phone number is (617) 636-5067.

What is Alisa Niksch's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Alisa Niksch enrolled in Medicare?

Yes. Alisa Niksch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alisa Niksch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Niksch reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Niksch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Niksch accept?

Health plans from Anthem Blue Cross and Blue Shield list Alisa Niksch 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 Alisa Niksch was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.