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THERESA FUKUDA PA-C
NPI 1366006330
Physician Assistant - Medical in Boston, MA

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
43 BOWDOIN ST APT 2F, BOSTON, MA 02114(802) 999-3882 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Fukuda Pa-c NPPES

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

THERESA FUKUDA PA-C (NPI 1366006330) is an individual medical provider in Boston, Massachusetts and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Tufts University School Of Medicine (2019).

NPPES Registry Identity

NPI1366006330
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTHERESA FUKUDACredential: PA-C
Location Address43 BOWDOIN ST APT 2FBoston, MA 02114-4238
Mailing Address43 Bowdoin St Apt 2fBoston, MA 02114-4238 · (802) 999-3882
Phone(802) 999-3882
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2019
Enumeration DateApril 25, 2019
✔ NPI 1366006330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
43 BOWDOIN ST APT 2F, Boston, MA 02114
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Other Identifiers 1

Medicaid092289MA

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

Theresa Fukuda Pa-c 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 ID4880929876
PECOS Enrollment IDI20190712002148
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
527 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services158 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
128 services125 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
49 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services43 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

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 Theresa Fukuda's NPI number?

The NPI number for Theresa Fukuda is 1366006330. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Theresa Fukuda located?

Theresa Fukuda practices at 43 Bowdoin St Apt 2F, Boston, MA 02114. The listed phone number is (802) 999-3882.

What is Theresa Fukuda's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theresa Fukuda enrolled in Medicare?

Yes. Theresa Fukuda 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.

Is Theresa Fukuda affiliated with any hospitals?

According to CMS data, Theresa Fukuda is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Fukuda was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.