BOSTON PAIN CLINIC & PRIMARY CARE PC
NPI 1790810745
Specialist in Hyde Park, MA

Active since February 22, 2007
188 PROVIDENCE ST, HYDE PARK, MA 02136(617) 361-2166(617) 361-2166 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Mar 31, 2016 (2 updates tracked since 2016).

About Boston Pain Clinic & Primary Care Pc NPPES

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

BOSTON PAIN CLINIC & PRIMARY CARE PC (NPI 1790810745) is a healthcare organization registered as a specialist in Hyde Park, Massachusetts and active in the NPI registry since February 2007. The organization lists Roberto Feliz, Pain Managment, as its authorized official.

NPPES Registry Identity

NPI1790810745
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOSTON PAIN CLINIC & PRIMARY CARE PC
Location Address188 PROVIDENCE STHyde Park, MA 02136-1856
Mailing Address188 Providence StHyde Park, MA 02136-1856 · (617) 361-2166 · Fax (617) 364-3871
Fax(617) 361-2166
Organization SubpartNo
Authorized OfficialRoberto FelizPain Managment · (617) 361-2166
Enumeration DateFebruary 22, 2007
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1790810745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 79427
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
188 PROVIDENCE ST, Hyde Park, MA 02136

Other Identifiers 1

Medicaid3126501MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boston Pain Clinic & Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Boston Pain Clinic & Primary Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1699075747
188 PROVIDENCE STREET BOSTON PAIN CLINIC
Hyde Park, MA 02136
(617) 361-2166
✔ Accepts MedicareSame address
Anesthesiology
NPI 1851376446
690 CANTON ST SUITE 325
Westwood, MA 02090
(781) 407-7713
✔ PECOS✔ Accepts Medicare5.0 mi
Anesthesiology
NPI 1922084987
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
(617) 638-6950
✔ PECOS✔ Accepts Medicare5.2 mi
Anesthesiology
NPI 1568639219
88 E NEWTON ST DEPARTMENT OF ANESTHESIA
Boston, MA 02118
(617) 638-8000
✔ PECOS✔ Accepts Medicare5.4 mi
Anesthesiology
NPI 1235310111
736 CAMBRIDGE ST
Boston, MA 02135
(617) 789-2268
✔ PECOS5.8 mi
Internal Medicine
NPI 1295085702
1931 OAK TREE RD LOWR LEVEL
Edison, NJ 08820
(732) 482-9600
✔ PECOS✔ Accepts Medicare205 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Boston Pain Clinic & Primary Care PC's NPI number?

The NPI number for Boston Pain Clinic & Primary Care PC is 1790810745. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Boston Pain Clinic & Primary Care PC located?

Boston Pain Clinic & Primary Care PC is located at 188 Providence St, Hyde Park, MA 02136. The listed phone number is (617) 361-2166.

What is Boston Pain Clinic & Primary Care PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Boston Pain Clinic & Primary Care PC enrolled in Medicare?

Yes. Boston Pain Clinic & Primary Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Pain Clinic & Primary Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Boston Pain Clinic & Primary Care PC. A 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 the clinician's services. The largest specialties are Anesthesiology (4), Internal Medicine (1) and Physical Therapist in Private Practice (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Boston Pain Clinic & Primary Care PC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.