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DR. JEFFREY M WILSON MD
NPI 1790712636
Anesthesiology in Boston, MA

Active since June 27, 2006PECOS Enrolled
55 FRUIT STREET CLN309, ANESTHESIA ASSOCIATES, BOSTON, MA 02114(617) 726-3030 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey M Wilson Md NPPES

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

DR. JEFFREY M WILSON MD (NPI 1790712636) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (51733) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790712636
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JEFFREY M WILSONCredential: MD
Location Address55 FRUIT STREET CLN309, ANESTHESIA ASSOCIATESBoston, MA 02114-2696
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 726-3030
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790712636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 51733
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
55 FRUIT STREET CLN309, Boston, MA 02114
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Other Identifiers 5

Medicare UPINB75078
Medicaid3038271MA
OtherJ07649MA · Bcbcs Ma
Medicare ID-Type UnspecifiedJ07649MA
Other051733MA · Tufts Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Dr. Jeffrey M Wilson 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 Reassignments

2

Medicare enrollment records show Jeffrey Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts General Physicians Organization Inc
Same address
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
Same address
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIAN MARC GOLDMAN MD
Anesthesiology
55 FRUIT STREET CLN309, ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-2450

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 Jeffrey Wilson's NPI number?

The NPI number for Jeffrey Wilson is 1790712636. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jeffrey Wilson located?

Jeffrey Wilson practices at 55 Fruit Street Cln309 Anesthesia Associates, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Jeffrey Wilson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jeffrey Wilson enrolled in Medicare?

Yes. Jeffrey Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Wilson reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Jeffrey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Wilson accept?

Health plans from Taro Health list Jeffrey Wilson 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 Jeffrey Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.