DR. DAVID HENRY EBB (MD) – Pediatric Hematology & Oncology Physician, NPI 1003898297

DR. DAVID HENRY EBB (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in HEMATOLOGY/ONCOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 77317 (MA). The NPI Number for DR. DAVID HENRY EBB (MD) is 1003898297

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID HENRY EBB (MD)
NPI
1003898297
Phone
(617) 726-2737
Address
PO BOX 9142
Enumeration Date
15 November 2005
Last Update Date
18 December 2012

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
6177262000
Graduation Year
1987 (39 years ago)
PAC ID
6507839297
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20040819000911
Address ID
MA021142621BO55XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

606 HEMATOLOGY/ONCOLOGY in MA

Provider Addresses for DR. DAVID HENRY EBB (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    CHARLESTOWN, MA 021299142

    Phone: (617) 726-2737

    Fax: (617) 724-0702

    Type: Mailing

  • 55 FRUIT ST, YAW 8B

    PEDIATRIC HEMATOLGY-ONCOLOGY

    BOSTON, MA 021142696

    Phone: (617) 726-2737

    Fax: (617) 724-0702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040819000911IHematology/OncologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

What number should I use to identify DR. DAVID HENRY EBB (MD) for billing?
Administrative and clinical systems typically use NPI 1003898297 for DR. DAVID HENRY EBB (MD).
Should I treat DR. DAVID HENRY EBB (MD) as an active provider?
Patients and plans typically see DR. DAVID HENRY EBB (MD) as active in the national extract.
What services align with DR. DAVID HENRY EBB (MD)'s listing?
DR. DAVID HENRY EBB (MD)'s public classification highlights Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DAVID HENRY EBB (MD)?
DR. DAVID HENRY EBB (MD) shows a connection to Charlestown, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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