SARA NICOLE STULAC MD
NPI 1407169717
Pediatrics in Boston, MA

Q: What is Sara Stulac's NPI number?

The NPI number for Sara Stulac is 1407169717. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Q: What is Sara Stulac's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Stulac was last updated on July 21, 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.

Active since July 16, 2010PECOS Enrolled

850 HARRISON AVENUE, YAWKEY 4, BOSTON, MA 02118(617) 414-4363 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 21, 2017 (3 updates tracked since 2017).

On this page

About Sara Nicole Stulac Md NPPES

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

SARA NICOLE STULAC MD (NPI 1407169717) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (248883) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1407169717

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSARA NICOLE STULACCredential: MD

Location Address850 HARRISON AVENUE, YAWKEY 4Boston, MA 02118

Mailing Address888 Commonwealth Ave, 3rd FloorBoston, MA 02215-1205 · (617) 998-8922 · Fax (617) 432-5300

Phone(617) 414-4363

Sole ProprietorNo

Enumeration DateJuly 16, 2010

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1407169717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MA · 248883✔ Licensed in NH · 12857

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

850 HARRISON AVENUE, Boston, MA 02118

Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid110119302AMA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Nicole Stulac 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 Sara Stulac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Codman Square Health Center Inc

3.1 mi

Community Health

637 WASHINGTON ST
Dorchester Center, MA 02124

Reassigned Medicare billing, Massachusetts enrollment
91 clinicians in this Medicare group

NPI 1396808309 (617) 825-9660

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 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARI J BENTLEY M.D.

Family Medicine

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-2000

JESSICA C. BRICK MD

Pediatrics

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-5946

MEGAN HAYES BAIR-MERRITT M.D.

Pediatrics

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-5946

MARIE G. CANTAVE-AYER NP

Nurse Practitioner (Family)

850 HARRISON AVENUE, YACC, 3RD FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-6100

MARSHA L TAHQUECHI CNM

Advanced Practice Midwife

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-2000

SIGRIDE JEAN-SICARD NP

Nurse Practitioner (Pediatrics)

850 HARRISON AVENUE, YAWKEY 4
BOSTON, MA 02118

Suffolk County (617) 414-4363

MISS EMILY KATHRYN BURNS CNP

Nurse Practitioner (Women's Health)

850 HARRISON AVENUE, 5TH FLOOR YAWKEY
BOSTON, MA 02118

Suffolk County (617) 414-2000

DIANE M NEZAR CNM

Advanced Practice Midwife

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-2000

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 Sara Stulac's NPI number?

The NPI number for Sara Stulac is 1407169717. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Sara Stulac located?

Sara Stulac practices at 850 Harrison Avenue Yawkey 4, Boston, MA 02118. The listed phone number is (617) 414-4363.

What is Sara Stulac's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sara Stulac enrolled in Medicare?

Yes. Sara Stulac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Stulac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Stulac reassigns Medicare benefits to Codman Square Health Center Inc (Dorchester Center, 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 Sara Stulac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Stulac accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Sara Stulac 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 Sara Stulac was last updated on July 21, 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.