POORNIMA PANDIYAN MD
NPI 1104112143
Pediatrics - Pediatric Critical Care Medicine in Boston, MA
About Poornima Pandiyan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POORNIMA PANDIYAN MD (NPI 1104112143) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (285460) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Poornima Pandiyan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Poornima Pandiyan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 220 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 86 clinicians in this Medicare group
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Children's Hospital
Childrens · Boston, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Poornima Pandiyan's NPI number?
The NPI number for Poornima Pandiyan is 1104112143. It was assigned to this individual provider in the NPPES registry on June 28, 2011.
Where is Poornima Pandiyan located?
Poornima Pandiyan practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Poornima Pandiyan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Poornima Pandiyan enrolled in Medicare?
Yes. Poornima Pandiyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Poornima Pandiyan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Poornima Pandiyan reassigns Medicare benefits to 4 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA), Boston Childrens Heart Foundation Inc (Boston, MA), Chmc Anesthesia Foundation Inc (Boston, MA) and Pratt Pediatric Associates Inc (Boston, MA). Each 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 Poornima Pandiyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Poornima Pandiyan affiliated with any hospitals?
According to CMS data, Poornima Pandiyan is affiliated with Boston Children's Hospital.
When was this NPI record last updated?
The NPPES record for Poornima Pandiyan was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Poornima Pandiyan, MD · NPI 1104112143
Pediatric Critical Care Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1104112143 (Entity type: Individual)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 285460 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA); Boston Childrens Heart Foundation Inc (NPI 1982680922, Boston, MA); Chmc Anesthesia Foundation Inc (NPI 1831268754, Boston, MA); Pratt Pediatric Associates Inc (NPI 1477590511, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 21, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104112143) · Data from the CMS NPPES public registry.