MIRAI MATSUURA MD
NPI 1952044422
Internal Medicine in Boston, MA
About Mirai Matsuura Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRAI MATSUURA MD (NPI 1952044422) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (1027057) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mirai Matsuura Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Mirai Matsuura's NPI number?
The NPI number for Mirai Matsuura is 1952044422. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Mirai Matsuura located?
Mirai Matsuura practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-0707.
What is Mirai Matsuura's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mirai Matsuura enrolled in Medicare?
Yes. Mirai Matsuura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Mirai Matsuura was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mirai Matsuura, MD · NPI 1952044422
Internal Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1952044422 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1027057 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 643-0707
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1952044422) · Data from the CMS NPPES public registry.