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Deactivated NPI 1346212776 Deactivated / Inactive NPI Male Practitioner

Dr. Alan B Retik , MD

Urology • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alan Retik has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2006
NPI Deactivation Date April 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Alan Retik, MD was a registered Urology practicing in Boston, MA. Throughout an active medical career spanning 16 years, Dr. Retik provided care at the practice location at 300 LONGWOOD AVE until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

300 Longwood Ave

Boston, MA 021155724

Telephone 6173557796
Fax 6177300474
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 29.9 Yrs
Regional Practice Density
117 Specialists

Practicing in Boston, MA (396 Statewide)

Telehealth Adoption Rate
48.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MA 29266

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1043386808

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Michelle Devincenzo

General Acute Care Hospital - Children

NPI 1093145906
Dr. Richard Lee , MD

Urology - Pediatric Urology

NPI 1306051545

Doctor of Medicine (M.D.)

NPI 1326025750

Doctor of Medicine (M.D.)

NPI 1366420077

Doctor of Medicine (M.D.)

Dr. Michael Kurtz , MD

Urology - Pediatric Urology

NPI 1366647943

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active April 06, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2015

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173557796)

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Updated Business Mailing Address April 06, 2015

Registered at P.O. BOX 414046, CHILDREN'S UROLOGICAL FOUNDATION, INC, BOSTON, MA 021154046 (Tel: 6179194088)

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Provider Name / Credentials Updated April 06, 2015

Recorded as ALAN RETIK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2015

Urology (License #29266 in MA)

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Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346212776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: April 06, 2015
Deactivation Date: April 12, 2022

Mailing Address

P.o. Box 414046, Children's Urological Foundation, Inc

Boston, MA 021154046

Phone: 6179194088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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