ANITA L KOSTECKI (M.D.) – Family Medicine Physician, NPI 1295710119
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,900 FAMILY PRACTICE in MA
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Provider Addresses for ANITA L KOSTECKI (M.D.)
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
DOB 503
BOSTON, MA 021182371
Phone:
Type: Mailing
850, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
YACC 5
BOSTON, MA 021184001
Phone: (617) 414-2080
Fax: (617) 414-2090
Type: Location
14 Prospect St
Milford, MA 017573003
Phone: (508) 473-1190
Type: Location
850 Harrison Ave, FL 4
Yawkey Bldg
Boston, MA 021184001
Phone: (617) 414-2080
Fax: (617) 414-2090
Type: Location
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone: (617) 000-9999
Type: Mailing
1 BOSTON MEDICAL CTR PL
DOWLING 5TH FL
BOSTON, MA 021182908
Phone: (617) 414-4465
Fax: (617) 414-3345
Type: Location
801 ALBANY STREET
FL GROUND
BOSTON, MA 021192371
Phone: (617) 414-5405
Type: Mailing
960 MASSACHUSETTS AVENUE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
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: 2009-12-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091214000640 | I | Family Practice | MA | TBD |
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.
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 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Addiction Medicine | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | NH | |
| - | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Family Practice | RI | |
| Family Practice | MA |
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