NORTH ANDOVER PEDIATRIC ASSOCIATES
NPI 1124136510
Pediatrics in Woburn, MA
About North Andover Pediatric Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH ANDOVER PEDIATRIC ASSOCIATES (NPI 1124136510) is a healthcare organization registered as a pediatrics in Woburn, Massachusetts and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 15, 2027 and lists John Petrarca, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Andover Pediatric Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Andover Pediatric Associates, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Compliance 22D0071165
Woburn Pediatric Associates · Woburn, MAFrequently 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 Woburn Pediatric Associates's NPI number?
The NPI number for Woburn Pediatric Associates is 1124136510. It was assigned to this organization in the NPPES registry on August 27, 2006. The provider is doing business as North Andover Pediatric Associates.
Where is Woburn Pediatric Associates located?
Woburn Pediatric Associates is located at 7 Alfred St Baldwin Park II, Woburn, MA 01801. The listed phone number is (781) 933-6236.
What is Woburn Pediatric Associates's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Woburn Pediatric Associates enrolled in Medicare?
Yes. Woburn Pediatric Associates is registered in the Medicare PECOS enrollment system.
When is Woburn Pediatric Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Woburn Pediatric Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Woburn Pediatric Associates. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Woburn Pediatric Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 22D0071165) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Woburn Pediatric Associates was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# North Andover Pediatric Associates · NPI 1124136510
Pediatrics organization in Woburn, Massachusetts. Organization record, active in the CMS NPPES registry since August 27, 2006.
## Identity
- **NPI:** 1124136510 (Entity type: Organization)
- **Enumerated:** August 27, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Woburn Pediatric Associates
- **Organization subpart:** No
- **Authorized official:** John Petrarca, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 7 ALFRED ST, BALDWIN PARK II, Woburn, MA 01801-1976
- **Phone:** (781) 933-6236 · **Fax:** (781) 938-8050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2016
- **Other identifiers:** Other 600388 (MA); Other 25114 (MA); Medicaid 9712623 (MA); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124136510) · Data from the CMS NPPES public registry.