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

RICHARD ANTONELLI MD
NPI 1275505786
Pediatrics in Boston, MA

Active since February 07, 2006PECOS Enrolled
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON PRIMARY CARE CENTER, BOSTON, MA 02115(617) 355-7701(617) 730-0505 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Richard Antonelli Md NPPES

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

RICHARD ANTONELLI MD (NPI 1275505786) is an individual pediatrics provider in Boston, Massachusetts, licensed in Connecticut (043502) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275505786
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICHARD ANTONELLICredential: MD
Location Address300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON PRIMARY CARE CENTERBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Children's Hospital Boston Primary Care CenterBoston, MA 02115-5724 · (617) 355-7701 · Fax (617) 730-0505
Phone(617) 355-7701
Fax(617) 730-0505
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateFebruary 11, 2009
✔ NPI 1275505786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 043502
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.
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified370001606CT
Medicaid001435024CT
Medicare UPIND88453CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Antonelli 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 02115 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 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 Richard Antonelli's NPI number?

The NPI number for Richard Antonelli is 1275505786. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Richard Antonelli located?

Richard Antonelli practices at 300 Longwood Ave Children's Hospital Boston Primary Care Center, Boston, MA 02115. The listed phone number is (617) 355-7701.

What is Richard Antonelli's specialty?

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

Is Richard Antonelli enrolled in Medicare?

Yes. Richard Antonelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Antonelli was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.