OrganizationActiveAccepts Medicare
Boston Sports Medicine and Research Institute LLC
NPI 1972934529 · Specialist · Dedham, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1972934529
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tom Gill, President(617) 264-1100
- License
- 152013 (MA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
40 Allied Dr
Dedham, MA 02026-6146
Phone: (617) 264-1100
Fax: (617) 264-1101
Street-level locationGet directions
Mailing address
40 Allied Dr
Dedham, MA 02026-6146
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.