MARK WILLIAM KIERAN MD PHD
NPI 1790747236
Pediatrics - Pediatric Hematology-Oncology in Boston, MA

Q: What is Mark Kieran's NPI number?

The NPI number for Mark Kieran is 1790747236. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Mark Kieran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kieran was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 03, 2006PECOS Enrolled

44 BINNEY ST, ROOM SW331, BOSTON, MA 02115(617) 632-4907(617) 632-4897 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark William Kieran Md Phd NPPES

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

MARK WILLIAM KIERAN MD PHD (NPI 1790747236) is an individual pediatric hematology-oncology provider in Boston, Massachusetts, licensed in Massachusetts (76146) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790747236

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameMARK WILLIAM KIERANCredential: MD PHD

Location Address44 BINNEY ST, ROOM SW331Boston, MA 02115-6013

Mailing Address44 Binney St, Room Sw331Boston, MA 02115-6013 · (617) 632-4907 · Fax (617) 632-4897

Phone(617) 632-4907

Fax(617) 632-4897

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateAugust 14, 2007

✔ NPI 1790747236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in MA · 76146

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

44 BINNEY ST, Boston, MA 02115

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Other Identifiers 12

Other8545845Cigna

OtherF33356DFHphc Dfci Only

Other000000026066Bmc Healthnet

Other2929111Aetna Us Healthcare

Other3138950Masshealth

Medicare UPINF33356

Other076146Tufts

Medicare ID-Type UnspecifiedJ12662

Other7505047United Health Care

Other370013224Rr Medicare Binney Med

Other23303Fallon Community Health

OtherJ31260Ma Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark William Kieran Md Phd 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.

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.

MS. LAURIE APPLEBY N.P.

Nurse Practitioner (Adult Health)

44 BINNEY ST
BOSTON, MA 02115

Suffolk County (617) 632-2648

MS. ALEXANDRA SUSANA PEREZ M.S.

Genetic Counselor, MS

44 BINNEY ST, SMITH BUILDING 271
BOSTON, MA 02115

Suffolk County (617) 582-8283

JAMES DOUGLAS GRIFFIN MD

Internal Medicine (Medical Oncology)

44 BINNEY ST, DANA-FARBER CANCER INSTITUTE
BOSTON, MA 02115

Suffolk County (617) 632-3360

HEATHER ANNE TRAFTON PA C

Physician Assistant

44 BINNEY ST, DANA PARKER CANCER INSTITUTE
BOSTON, MA 02115

Suffolk County (617) 525-7379

SHILPA M HATTANGADI MD

Pediatrics (Pediatric Hematology-Oncology)

44 BINNEY ST
BOSTON, MA 02115

Suffolk County (617) 632-6296

JO ANN FUGAZZOTTO APRN-BC

Nurse Practitioner (Acute Care)

44 BINNEY ST, SUITE SW460
BOSTON, MA 02115

Suffolk County (617) 632-6934

DR. RAMEEN BEROUKHIM MD

Internal Medicine (Medical Oncology)

44 BINNEY ST
BOSTON, MA 02115

Suffolk County (617) 632-3779

DR. SUSAN D BLOCK MD

Psychiatry & Neurology (Psychiatry)

44 BINNEY ST, SW411
BOSTON, MA 02115

Suffolk County (617) 632-6181

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 Mark Kieran's NPI number?

The NPI number for Mark Kieran is 1790747236. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Mark Kieran located?

Mark Kieran practices at 44 Binney St Room Sw331, Boston, MA 02115. The listed phone number is (617) 632-4907.

What is Mark Kieran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Mark Kieran enrolled in Medicare?

Yes. Mark Kieran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Kieran was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.