EITAN NEIDICH M.D.
NPI 1396193363
Surgery in Boston, MA
About Eitan Neidich M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EITAN NEIDICH M.D. (NPI 1396193363) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (267223) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Eitan Neidich 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.
Medicare Billing Reassignments
3Medicare enrollment records show Eitan Neidich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 329 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Mountain View, CA 94040
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Shyamali Mallick Singhal MD Phd Inc
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 Eitan Neidich's NPI number?
The NPI number for Eitan Neidich is 1396193363. It was assigned to this individual provider in the NPPES registry on May 31, 2016.
Where is Eitan Neidich located?
Eitan Neidich practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-1619.
What is Eitan Neidich's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Eitan Neidich enrolled in Medicare?
Yes. Eitan Neidich 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.
Which organizations bill Medicare for Eitan Neidich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eitan Neidich reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Southern California Permanente Medical Group (Lancaster, CA) and Shyamali Mallick Singhal, M.D., Phd, Inc. (Mountain View, CA). Each 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 Eitan Neidich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eitan Neidich was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Eitan Neidich, M.D. · NPI 1396193363
Surgery physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1396193363 (Entity type: Individual)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 267223 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WASHINGTON ST, Boston, MA 02111-1552
- **Phone:** (617) 636-1619
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Icahn School Of Medicine At Mount Sinai (NPI 1215488127, New York, NY); Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA); Shyamali Mallick Singhal, M.D., Phd, Inc. (NPI 1013180785, Mountain View, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** May 31, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1396193363) · Data from the CMS NPPES public registry.