DR. CHERYL MARSHA GREENFIELD MD
NPI 1093712218
Pediatrics - Adolescent Medicine in Marion, MA

NPI Status: Active since July 01, 2005

Contact Information

240 WAREHAM RD
MARION, MA
ZIP 02738
Phone: (508) 748-1313

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  • Individual
  • Female
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance
  • PECOS Enrolled

About CHERYL GREENFIELD

This page provides the complete NPI Profile along with additional information for Cheryl Greenfield, a pediatrician established in Marion, Massachusetts with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1093712218 assigned on July 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 47757 (MA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1093712218
Provider Name
DR. CHERYL MARSHA GREENFIELD MD
Gender
Female
Entity Type
Individual
Location Address
240 WAREHAM RD MARION, MA 02738
Location Phone
(508) 748-1313
Mailing Address
240 WAREHAM RD MARION, MA 02738
Mailing Phone
(508) 748-1313
Is Sole Proprietor?
Yes
Enumeration Date
07-01-2005
Last Update Date
07-09-2007
Code Navigator

A pediatrician like Cheryl Greenfield is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
47757
License State
MA
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
972410OTHER (01)NETWORK HEALTH
9777873MEDICAID (05)MA 
201103OTHER (01)MAHARVARD PILGRIM
8663079002OTHER (01)MACIGNA
000000022153OTHER (01)BOSTON HEALTH NET
4222066OTHER (01)AETNA NON HMO
771894OTHER (01)MATUFTS
D88357MEDICARE UPIN (02)MA 
28621OTHER (01)MACHILDRENS MEDICAL SECURIT
0034332OTHER (01)NIEGHBORHOOD HEALTH
MA0028927OTHER (01)CHAMPUS TRICARE
550194OTHER (01)MAAETNA US HEALTH
J03223OTHER (01)MABLUE CROSS BLUE SHIELD

Medicare Participation & PECOS Enrollment Status

Cheryl Greenfield is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. CHERYL MARSHA GREENFIELD MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093712218, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 4 + 1 + 4 + 2 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1093712218.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
240 WAREHAM RD
MARION, MA 02738
Pediatrics (Adolescent Medicine)
240 WAREHAM RD
MARION, MA 02738
Nurse Practitioner (Family)
240 WAREHAM RD
MARION, MA 02738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093712218, enumerated as an "individual" on July 01, 2005.

The provider is located at 240 WAREHAM RD MARION, MA 02738 and the phone number is (508) 748-1313.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.