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BOSTON SPORTS MEDICINE AND RESEARCH INSTITUTE LLC
NPI 1972934529
Specialist in Dedham, MA

Active since December 09, 2013
40 ALLIED DR, DEDHAM, MA 02026(617) 264-1100(617) 264-1101 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Boston Sports Medicine And Research Institute Llc NPPES

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

BOSTON SPORTS MEDICINE AND RESEARCH INSTITUTE LLC (NPI 1972934529) is a healthcare organization registered as a specialist in Dedham, Massachusetts and active in the NPI registry since December 2013. The organization lists Tom Gill, President, as its authorized official.

NPPES Registry Identity

NPI1972934529
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOSTON SPORTS MEDICINE AND RESEARCH INSTITUTE LLC
Location Address40 ALLIED DRDedham, MA 02026-6146
Mailing Address40 Allied DrDedham, MA 02026-6146 · (617) 264-1100 · Fax (617) 264-1101
Phone(617) 264-1100
Fax(617) 264-1101
Organization SubpartNo
Authorized OfficialTom GillPresident · (617) 264-1100
Enumeration DateDecember 9, 2013
Last NPPES UpdateMay 20, 2015
✔ NPI 1972934529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 152013
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.
40 ALLIED DR, Dedham, MA 02026
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Other Identifiers 3

Medicare PINNX1175
Medicaid11060187/AMA
Medicare UPING35001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Sports Medicine And Research Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Boston Sports Medicine And Research Institute LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Gill, M.D.
Orthopedic Surgery
NPI 1457339491
40 ALLIED DR
Dedham, MA 02026
(617) 264-1100
✔ PECOS✔ Accepts MedicareSame address

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 Sports Medicine And Research Institute LLC's NPI number?

The NPI number for Boston Sports Medicine And Research Institute LLC is 1972934529. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Boston Sports Medicine And Research Institute LLC located?

Boston Sports Medicine And Research Institute LLC is located at 40 Allied Dr, Dedham, MA 02026. The listed phone number is (617) 264-1100.

What is Boston Sports Medicine And Research Institute LLC's specialty?

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

Is Boston Sports Medicine And Research Institute LLC enrolled in Medicare?

Yes. Boston Sports Medicine And Research Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Sports Medicine And Research Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Boston Sports Medicine And Research Institute LLC. 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. 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 Sports Medicine And Research Institute LLC was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.