Dr. Lystra Perley Hayden, MD, MMSc
Pediatrics, Pediatric Pulmonology in Boston, MA. Individual provider (NPI-1).
NPI number1760626980
StatusActive
Last updated in NPPESJul 6, 2015
Details
- NPI
- 1760626980
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lystra Perley Hayden
- Credential
- MD, MMSc
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2009
- Last updated
- Jul 6, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | 251150 | MA | Yes |
Practice location
300 Longwood AveBch3121
Boston, MA 02115-5724
Phone 617-355-1900
Mailing address
300 Longwood AveBch3121
Boston, MA 02115-5724
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