Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Provatas Spanos, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457811812

Nicholas Provatas Spanos, MD is a Pulmonary Disease in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2019, 7 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
Tufts University School of Medicine
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457811812
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESDecember 22, 2023

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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