JOHANN NIKOLAS PATLAK – Anesthesiology Physician, NPI 1871868075

JOHANN NIKOLAS PATLAK is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold a License No. 269792 (MA). The NPI Number for JOHANN NIKOLAS PATLAK is 1871868075

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JOHANN NIKOLAS PATLAK
NPI
1871868075
Phone
(617) 667-3364
Address
330 BROOKLINE AVE
Enumeration Date
20 March 2012
Last Update Date
20 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
4017932104
Graduation Year
2012 (14 years ago)
PAC ID
1052697000
Group Practice PAC ID
6901796408
Professional Enrollment ID
I20180912002545
Address ID
RI029062853PR164XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for JOHANN NIKOLAS PATLAK

  • 330 BROOKLINE AVE

    BOSTON, MA 022155400

    Phone: (617) 667-3364

    Type: Mailing

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-5172

    Fax: (401) 444-5090

    Type: Location

  • 101 Dudley Street

    Anesthesiology Dept

    Providence, RI 029050290

    Phone: (401) 453-7950

    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: 2018-09-12

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
I20180912002545IAnesthesiologyRITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7834$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2415$0
36620Insertion of artery tube for blood sampling or infusion through skin1818$0
01402Anesthesia for procedure for total knee joint replacement1818$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1717$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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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: 6901796408View full group profile
NameSpecialtyState
Internal MedicineRI
-RI
P A T H O L O G YRI
-RI
-CT
O B S T E T R I C S/ G Y N E C O L O G YTX
Cardiovascular Disease (Cardiology)RI
-RI
P A T H O L O G YRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What NPI should I save for JOHANN NIKOLAS PATLAK?
Save NPI 1871868075 if you need a stable reference for JOHANN NIKOLAS PATLAK.
Does this profile mean JOHANN NIKOLAS PATLAK is currently active?
Yes — JOHANN NIKOLAS PATLAK appears active in the national provider directory.
What kind of provider is JOHANN NIKOLAS PATLAK?
The page reflects Anesthesiology Physician for JOHANN NIKOLAS PATLAK. Clinical services aligned with this taxonomy classification.
Where is JOHANN NIKOLAS PATLAK's primary listing?
We display Boston, Massachusetts because that is what the record indicates for JOHANN NIKOLAS PATLAK.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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