Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Tatar, PA

Individual provider Physician Assistant · NPI 1457069494

Mackenzie Tatar, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Boston University Orthopaedic Surgical Associates Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

725 Albany St Ste 4B
Boston, MA 02118-3549
Phone: (617) 638-5633
Fax: (617) 414-5226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39b District Ave, Dorchester, MA 02125-1683 — (617) 638-7869

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9164 (MA)

Record details

NPI number1457069494
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address960 Massachusetts Ave, Fl 2, Boston, MA 02118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Boston University Orthopaedic Surgical Associates Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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