BOSTON COMMUNITY PEDIATRICS INC
NPI 1053927574
Pediatrics in Boston, MA

Active since September 21, 2020CLIA 22D2204268 · Waiver
527 ALBANY ST STE 200, BOSTON, MA 02118(617) 934-6009(617) 934-7102 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Sep 21, 2020 (2 updates tracked since 2020).

About Boston Community Pediatrics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSTON COMMUNITY PEDIATRICS INC (NPI 1053927574) is a healthcare organization registered as a pediatrics in Boston, Massachusetts and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Robyn Riseberg, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053927574
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOSTON COMMUNITY PEDIATRICS INC
Location Address527 ALBANY ST STE 200Boston, MA 02118-2511
Mailing Address527 Albany St Ste 200Boston, MA 02118-2511 · (617) 934-6009 · Fax (617) 934-7102
Fax(617) 934-7102
Organization SubpartNo
Authorized OfficialRobyn RisebergAuthorized Official · (617) 934-6009
Enumeration DateSeptember 21, 2020
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1053927574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
527 ALBANY ST STE 200, Boston, MA 02118

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boston Community Pediatrics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Boston Community Pediatrics Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pediatric Medicine
NPI 1770562282
527 ALBANY ST STE 200
Boston, MA 02118
(617) 934-6009
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1285217380
527 ALBANY ST STE 200
Boston, MA 02118
(617) 934-6009
✔ PECOSSame address
Nurse Practitioner
NPI 1194071514
1601 WASHINGTON ST
Boston, MA 02118
(617) 425-2000
✔ PECOS0.5 mi
Pediatric Medicine
NPI 1871835272
300 LONGWOOD AVE DEPARTMENT OF MEDICINE HUNN 2
Boston, MA 02115
(617) 355-8241
✔ PECOS✔ Accepts Medicare2.0 mi
Pediatric Medicine
NPI 1760596654
UMASS MEDICAL SCHOOL 305 SOUTH STREET
Jamaica Plain, MA 02130
(617) 983-6300
✔ PECOS3.1 mi
Clinical Social Worker
NPI 1487374484
41 GARRISON RD
Brookline, MA 02445
(617) 277-8107
✔ PECOS3.7 mi
Pediatric Medicine
NPI 1336120823
151 EVERETT AVENUE CHELSEA HEALTHCARE CENTER
Chelsea, MA 02150
(617) 889-8520
✔ PECOS4.2 mi
Pediatric Medicine
NPI 1801875380
575 MOUNT AUBURN ST
Cambridge, MA 02138
(617) 547-1995
✔ PECOS4.7 mi
Cardiovascular Disease (Cardiology)
NPI 1356394472
55 LAKE AVE N DEPARTMENT OF PEDIATRIC CARDIOLOGY
Worcester, MA 01655
(774) 441-8080
✔ PECOS36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2204268

Boston Community Pediatrics Inc · Boston, MA
Active · expires Dec 7, 2026
CLIA Number22D2204268
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorRobyn Riseberg
Laboratory Phone(617) 934-6009
Laboratory LocationBoston Community Pediatrics Inc527 Albany St Ste 200, Boston, MA 02118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boston Community Pediatrics Inc's NPI number?

The NPI number for Boston Community Pediatrics Inc is 1053927574. It was assigned to this organization in the NPPES registry on September 21, 2020.

Where is Boston Community Pediatrics Inc located?

Boston Community Pediatrics Inc is located at 527 Albany St Ste 200, Boston, MA 02118. The listed phone number is (617) 934-6009.

What is Boston Community Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Boston Community Pediatrics Inc enrolled in Medicare?

Yes. Boston Community Pediatrics Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boston Community Pediatrics Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Boston Community Pediatrics Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (6), Cardiovascular Disease (Cardiology) (1) and Clinical Social Worker (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boston Community Pediatrics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2204268) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boston Community Pediatrics Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Boston Community Pediatrics Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boston Community Pediatrics Inc was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.