DR. CAROL PINEDA MD
NPI 1154501484
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Q: What is Carol Pineda's NPI number?

The NPI number for Carol Pineda is 1154501484. It was assigned to this individual provider in the NPPES registry on November 3, 2007. The provider is also known as Carol Pineda Rubiano MD.

Q: What is Carol Pineda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Carol Pineda was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 03, 2007PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Sep 18, 2019, May 22, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Carol Pineda Md NPPES

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

DR. CAROL PINEDA MD (NPI 1154501484) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (254368) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154501484

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. CAROL PINEDACredential: MD

Location Address300 LONGWOOD AVEBoston, MA 02115

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(617) 355-6000

Sole ProprietorNo

Enumeration DateNovember 3, 2007

Last NPPES UpdateJune 24, 20244 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1154501484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MA · 254368

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

300 LONGWOOD AVE, Boston, MA 02115

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Other Names 1

Other Name (5)Carol Pineda Rubiano Md

Secondary Practice Locations 2

Location 1800 Washington StBoston, MA 02111 · Phone (617) 636-5000

Location 2759 Chestnut StreetSpringfield, MA 01107-1619 · Phone (413) 794-5370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carol Pineda 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

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

Children's Hospital Pediatric Associates, Inc

Same address

Pediatrics

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
1,358 clinicians in this Medicare group

NPI 1457306664 (617) 355-6000

Chmc Anesthesia Foundation Inc

Same address

Pediatric Anesthesiology

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
101 clinicians in this Medicare group

NPI 1831268754 (617) 919-1340

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

Other Providers at the Same Location NPPES 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Carol Pineda's NPI number?

The NPI number for Carol Pineda is 1154501484. It was assigned to this individual provider in the NPPES registry on November 3, 2007. The provider is also known as Carol Pineda Rubiano MD.

Where is Carol Pineda located?

Carol Pineda practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Carol Pineda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Carol Pineda enrolled in Medicare?

Yes. Carol Pineda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carol Pineda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Pineda reassigns Medicare benefits to 2 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA) and Chmc Anesthesia Foundation 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 Carol Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Pineda accept?

Health plans from Taro Health list Carol Pineda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Pineda was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.