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DANIELA A BOERESCU MD
NPI 1386628154
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
235 PLAIN ST, SUITE 501, PROVIDENCE, RI 02905(401) 444-7442(401) 444-7109 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniela A Boerescu Md NPPES

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

DANIELA A BOERESCU MD (NPI 1386628154) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD11092) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1386628154
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDANIELA A BOERESCUCredential: MD
Location Address235 PLAIN ST, SUITE 501Providence, RI 02905-3240
Mailing Address593 Eddy St, Apc 978Providence, RI 02903-4923 · (401) 444-4318 · Fax (401) 444-7865
Phone(401) 444-7442
Fax(401) 444-7109
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1386628154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · MD11092
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
235 PLAIN ST, Providence, RI 02905
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Other Identifiers 3

Medicare UPINH82329
Medicaid7010403RI
Medicare ID-Type Unspecified007010403

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

Daniela A Boerescu Md 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 ID6608909130
PECOS Enrollment IDI20210624002899
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

3

Medicare enrollment records show Daniela Boerescu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
0.2 mi
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group
NPI 1548506793 (401) 444-7442
Rhode Island Hospital
0.2 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905
Hartford Healthcare Medical Group Specialists, PLLC
66 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

CENTER FOR PLASTIC AND HAND SURGERY PC
Plastic Surgery
235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905
Providence County (401) 632-4700
PATRICK K. SULLIVAN, MD, LTD.
Plastic Surgery
235 PLAIN ST, SUITE 502
PROVIDENCE, RI 02905
Providence County (401) 831-8300
NAUREEN ATTIULLAH MD
Psychiatry & Neurology (Psychiatry)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Providence County (401) 444-7442
ROBERT B BREEN PHD
Psychologist (Clinical)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Providence County (401) 444-7442
NEUROSURGICAL CARE, LLC
Neurological Surgery
235 PLAIN ST
PROVIDENCE, RI 02905
Providence County (401) 521-9909
LAWRENCE P BOWEN MD INC
Surgery (Plastic and Reconstructive Surgery)
235 PLAIN ST, SUITE 304
PROVIDENCE, RI 02905
Providence County (401) 331-4140
LYNNETTE M SCOLPINO CNM
Advanced Practice Midwife
235 PLAIN ST, SUTIE 401
PROVIDENCE, RI 02905
Providence County (401) 421-1710
GARY WHARTON MD
Obstetrics & Gynecology
235 PLAIN ST
PROVIDENCE, RI 02905
Providence County (401) 421-1710

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 Daniela Boerescu's NPI number?

The NPI number for Daniela Boerescu is 1386628154. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Daniela Boerescu located?

Daniela Boerescu practices at 235 Plain St Suite 501, Providence, RI 02905. The listed phone number is (401) 444-7442.

What is Daniela Boerescu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Daniela Boerescu enrolled in Medicare?

Yes. Daniela Boerescu 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 organizations bill Medicare for Daniela Boerescu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniela Boerescu reassigns Medicare benefits to 3 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Daniela Boerescu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniela Boerescu accept?

Health plans from Anthem Blue Cross and Blue Shield list Daniela Boerescu 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 Daniela Boerescu was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.