Faculty Practice Foundation Inc Boston University Dermatology Inc – Dermatology Physician, NPI 1376532853
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Faculty Practice Foundation Inc Boston University Dermatology Inc
801 ALBANY ST FL G
BOSTON, MA 021193791
Phone: (617) 414-5405
Fax: (617) 414-6031
Type: Mailing
Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
DOB 503
BOSTON, MA 021182371
Phone: (617) 414-5405
Fax: (617) 414-6031
Type: Mailing
Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States
SHAPIRO BUILDING, 8TH FLOOR
BOSTON, MA 021182526
Phone: (617) 638-7420
Fax: (617) 638-7289
Type: Location
725 ALBANY ST, SUITE 8B
SHAPIRO BLDG
BOSTON, MA 02118
Phone: (617) 638-7420
Fax: (617) 638-7289
Type: Location
960 MASSACHUSETTS AVE
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: 2004-02-26
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 |
|---|---|---|---|---|
| O20040226000806 | O | Clinic/Group 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 02119)
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