1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Pediatrics
  6. NPI Profile

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

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: October 25, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Kieran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dana-Farber Cancer Institute, Inc.
0.1 mi
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000

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 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.

Which organization bills Medicare for Mark Kieran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kieran reassigns Medicare benefits to Dana-Farber Cancer Institute, Inc. (Boston, 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 Mark Kieran'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 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 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.