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DR. MARC A ROSENTHAL M.D.
NPI 1346225083
Pediatrics in Burlington, MA

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
20 WALL ST, BURLINGTON, MA 01803(781) 221-2800(781) 221-2680 Get Directions Write a Review

NPPES record last updated: March 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marc A Rosenthal M.d. NPPES

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

DR. MARC A ROSENTHAL M.D. (NPI 1346225083) is an individual pediatrics provider in Burlington, Massachusetts, licensed in Massachusetts (209935) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (1998).

NPPES Registry Identity

NPI1346225083
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARC A ROSENTHALCredential: M.D.
Location Address20 WALL STBurlington, MA 01803-4758
Mailing Address20 Wall StBurlington, MA 01803-4758 · (781) 221-2800 · Fax (781) 221-2680
Phone(781) 221-2800
Fax(781) 221-2680
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 1998
Enumeration DateDecember 14, 2005
Last NPPES UpdateMarch 7, 2021
NPPES CertifiedMarch 7, 2021
✔ NPI 1346225083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 209935
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.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 209935 (MA)
20 WALL ST, Burlington, MA 01803
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Other Identifiers 8

Other0023639MA · Neighborhood Health
OtherJ23714MA · Blue Cross
Other209935MA · Tufts
Other3547350MA · Aetna
Other12-04575MA · United Healthcare
Medicaid0140449MA
OtherB501026MA · Cigna
OtherHV0049MA · Harvard Pilgrim Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc A Rosenthal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749170678
PECOS Enrollment IDI20040316000918
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 Reassignment

Medicare enrollment records show Marc Rosenthal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atrius Health, Inc.
Same address
Internal Medicine
20 WALL ST
Burlington, MA 01803
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
NPI 1225183726 (781) 221-2500

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 01803 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.

MARLENE A BRADY NP-C
Nurse Practitioner (Family)
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2600
ZENIA CHAKLADAR
Physician Assistant
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2500
IONE BISSONNETTE CNM
Advanced Practice Midwife
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2940
NICOLE ANNETTE CLARKE JAGODOWSKI
Nurse Practitioner (Pediatrics)
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2800
MR. BIJAN - HARIRIAN LIC AC.
Acupuncturist
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2783
RACHEL A. HANDREN PT
Physical Therapist
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2740
MRS. KRISTEN LEIGH FOLEY P.T.
Physical Therapist
20 WALL ST
BURLINGTON, MA 01803
Middlesex County (781) 221-2500
DEEPA PRAKASH ARYA M.D.
Family Medicine (Adult Medicine)
20 WALL ST, INTERNAL MEDICINE
BURLINGTON, MA 01803
Middlesex County (781) 221-2600

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 Marc Rosenthal's NPI number?

The NPI number for Marc Rosenthal is 1346225083. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Marc Rosenthal located?

Marc Rosenthal practices at 20 Wall St, Burlington, MA 01803. The listed phone number is (781) 221-2800.

What is Marc Rosenthal's specialty?

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

Is Marc Rosenthal enrolled in Medicare?

Yes. Marc Rosenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marc Rosenthal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Rosenthal reassigns Medicare benefits to Atrius Health, Inc. (Burlington, MA). The 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 Marc Rosenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Rosenthal accept?

Health plans from Anthem Blue Cross and Blue Shield list Marc Rosenthal 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 Marc Rosenthal was last updated on March 7, 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.