Boston Sports & Shoulder Center,llc
NPI 1619163052 · Orthopaedic Surgery Physician · Dedham, MA
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boston Sports & Shoulder Center,llc is a Orthopaedic Surgery Physician organization in Dedham, MA (NPI 1619163052).
Provider details
- NPI number
- 1619163052
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Shaker, Executive Director(781) 890-2133
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Boston Sports & Shoulder Center
Additional practice locations (1)
- 840 Winter StWaltham, MA 02451-1433Phone: (781) 890-2133Fax: (781) 890-2177
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Frequently asked questions
- What is Boston Sports & Shoulder Center,llc's NPI number?
- Boston Sports & Shoulder Center,llc's National Provider Identifier (NPI) is 1619163052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boston Sports & Shoulder Center,llc?
- Boston Sports & Shoulder Center,llc is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Boston Sports & Shoulder Center,llc located?
- Boston Sports & Shoulder Center,llc's practice location on file with NPPES is 40 Allied Dr, Dedham, MA 02026-6146.
- What is Boston Sports & Shoulder Center,llc's phone number?
- The practice phone number listed in the NPPES registry for Boston Sports & Shoulder Center,llc is (617) 264-1100.
- Does Boston Sports & Shoulder Center,llc accept Medicare?
- Boston Sports & Shoulder Center,llc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boston Sports & Shoulder Center,llc?
- The authorized official listed on Boston Sports & Shoulder Center,llc's NPPES record is Jonathan Shaker, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boston Sports & Shoulder Center,llc's NPI active?
- Yes — Boston Sports & Shoulder Center,llc's NPI (1619163052) is active in the NPPES registry as of the last update on 2024-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.