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DR. JIANREN MAO MD PHD NPI 1578554580


NPI Information

NPI: 1578554580
Provider Name: DR. JIANREN MAO, MD PHD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

PECOS Registration: Yes

Address:
15 PARKMAN ST
WAC 324 ANESTHESIA PAIN MANAGEMENT
BOSTON, MA
ZIP 02114
Phone: (617) 726-8810
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DR. Jianren Mao, MD PHD is a pain medicine anesthesiology in Boston, MA with 41 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Jianren Mao, MD PHD NPI is 1578554580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PARKMAN ST
WAC 324 ANESTHESIA PAIN MANAGEMENT
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-8810
Fax: (617) 724-3441

The NPI 1578554580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology159628MASSACHUSETTSNo
2207LP2900XAnesthesiologyPain Medicine159628MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J19914OTHERMASSACHUSETTSBCBS MA
2159628OTHERMASSACHUSETTSTUFTS HEALTH PLAN
33195007MEDICAIDMASSACHUSETTS
4G90515MEDICARE UPIN
5A29389MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.