DR. PETER FLECK CLARDY M.D. NPI 1629000237

NPI Information

  • NPI: 1629000237
  • Provider Name: DR. PETER FLECK CLARDY, M.D.
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 BROOKLINE AVE
    BETH ISRAEL DEACONESS MEDICAL CENTER KSB23
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 667-5864

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NPI Details

DR. Peter Fleck Clardy, M.D. is a critical care medicine internal medicine in Boston, MA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Peter Fleck Clardy, M.D. NPI is 1629000237. 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:

330 BROOKLINE AVE
BETH ISRAEL DEACONESS MEDICAL CENTER KSB23
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-5864

The NPI 1629000237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 4/13/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease207993MASSACHUSETTSNo
2207RC0200XInternal MedicineCritical Care Medicine207993MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10168661MEDICAIDMASSACHUSETTS
2H64328MEDICARE UPIN
3A34197MEDICARE ID-TYPE UNSPECIFIED

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: 3/30/2025

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