DR. MEDIATRIX MBAMALU MD
NPI 1114174257
Pediatrics in Boston, MA

Q: What is Mediatrix Mbamalu's NPI number?

The NPI number for Mediatrix Mbamalu is 1114174257. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Q: What is Mediatrix Mbamalu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mediatrix Mbamalu was last updated on February 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 20, 2008PECOS Enrolled

850 HARRISON AVE FL 6, BOSTON, MA 02118(617) 414-6335 Get Directions Write a Review

NPPES record last updated: February 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mediatrix Mbamalu Md NPPES

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

DR. MEDIATRIX MBAMALU MD (NPI 1114174257) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (275095) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114174257

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MEDIATRIX MBAMALUCredential: MD

Location Address850 HARRISON AVE FL 6Boston, MA 02118-4001

Mailing Address801 Albany St Fl 1Boston, MA 02119-3791 · (617) 414-6335

Phone(617) 414-6335

Sole ProprietorNo

Enumeration DateAugust 20, 2008

Last NPPES UpdateFebruary 28, 2021

NPPES CertifiedFebruary 28, 2021

✔ NPI 1114174257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 275095

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.

850 HARRISON AVE FL 6, Boston, MA 02118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mediatrix Mbamalu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY LEE

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