1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Pediatrics
  6. NPI Profile

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

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: October 18, 2026.

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 and maintains a secondary practice location in Boston.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mediatrix Mbamalu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
354 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606
Mgmc LLC
394 mi
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 861 clinicians in this Medicare group
NPI 1316949654 (888) 896-1400

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

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
Student in an Organized Health Care Education/Training Program
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-4561
RACHEL EATON
Student in an Organized Health Care Education/Training Program
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-5245
DR. JAEGAK KIM D.M.D.
Dentist (Oral and Maxillofacial Surgery)
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-2243
DR. NELLIE PATRICIA GANNON DMD
Dentist (General Practice)
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-4837
AYA ABU-EL-HAIJA MD
Medical Genetics (Clinical Genetics (M.D.))
850 HARRISON AVE FL 6
BOSTON, MA 02118
Suffolk County (617) 414-4841

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 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.

Where is Mediatrix Mbamalu located?

Mediatrix Mbamalu practices at 850 Harrison Ave Fl 6, Boston, MA 02118. The listed phone number is (617) 414-6335.

What is Mediatrix Mbamalu's specialty?

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

Is Mediatrix Mbamalu enrolled in Medicare?

Yes. Mediatrix Mbamalu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mediatrix Mbamalu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mediatrix Mbamalu reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Mgmc LLC (Washington, DC). 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 Mediatrix Mbamalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.