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

DR. HOLLY ROTHERMEL MD
NPI 1215913926
Pediatrics - Pediatric Rheumatology in Boston, MA

Active since December 15, 2005PECOS Enrolled
55 FRUIT ST, YAW 6, PEDIATRIC GROUP PRACTICE, BOSTON, MA 02114(617) 726-2728(617) 726-3948 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Holly Rothermel Md NPPES

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

DR. HOLLY ROTHERMEL MD (NPI 1215913926) is an individual pediatric rheumatology provider in Boston, Massachusetts, licensed in Massachusetts (150450) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215913926
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. HOLLY ROTHERMELCredential: MD
Location Address55 FRUIT ST, YAW 6, PEDIATRIC GROUP PRACTICEBoston, MA 02114-2621
Mailing AddressPo Box 9142Charlestown, MA 02129-9142 · (617) 726-2728 · Fax (617) 724-3948
Phone(617) 726-2728
Fax(617) 726-3948
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 29, 2012
✔ NPI 1215913926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in MA · 150450
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License 150450 (MA)
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedA21248MA
Other150450MA · Tufts Health Plan
Medicare UPING26392
OtherJ16594MA · Bcbs Ma
Medicaid3152341MA

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. Holly Rothermel 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 Holly Rothermel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts General Physicians Organization Inc
Same address
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
Same address
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Holly Rothermel's NPI number?

The NPI number for Holly Rothermel is 1215913926. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Holly Rothermel located?

Holly Rothermel practices at 55 Fruit St Yaw 6, Pediatric Group Practice, Boston, MA 02114. The listed phone number is (617) 726-2728.

What is Holly Rothermel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Holly Rothermel enrolled in Medicare?

Yes. Holly Rothermel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Rothermel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Rothermel reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (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 Holly Rothermel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Rothermel accept?

Health plans from Taro Health list Holly Rothermel 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 Holly Rothermel was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.