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MARIO CORDOVA M.D.
NPI 1548353618
Pediatrics - Neonatal-Perinatal Medicine in Boston, MA

Active since October 02, 2006PECOS Enrolled
750 WASHINGTON ST, NEMC BOX #836, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mario Cordova M.d. NPPES

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

MARIO CORDOVA M.D. (NPI 1548353618) is an individual neonatal-perinatal medicine provider in Boston, Massachusetts, licensed in Massachusetts (78705) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548353618
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMARIO CORDOVACredential: M.D.
Location Address750 WASHINGTON ST, NEMC BOX #836Boston, MA 02111-1526
Mailing Address750 Washington St, Nemc Box #836Boston, MA 02111-1526 · (617) 636-5000
Phone(617) 636-5000
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548353618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MA · 78705
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
750 WASHINGTON ST, Boston, MA 02111
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Accepted Insurance

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

Mario Cordova M.d. 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 Reassignment

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

Pratt Pediatric Associates Inc
0.1 mi
Pediatrics
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 202 clinicians in this Medicare group
NPI 1477590511 (617) 636-5000

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.

KEIKO UEDA MPH, RD, LDN
Dietitian, Registered
750 WASHINGTON ST, TNEMC BOX#434
BOSTON, MA 02111
Suffolk County (617) 636-5458
COLLEEN MCARTOR CRNA
Nurse Anesthetist, Certified Registered
750 WASHINGTON ST, NEMC BOX #7105
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. KATHLEEN BUNGAY PHARMD, MS
Pharmacist (Psychiatric)
750 WASHINGTON ST, THE HEALTH INSTITUTE, BOX 345
BOSTON, MA 02111
Suffolk County (617) 636-3292
ALEXIS MADEJ M.S., R.D., L.D.N.
Dietitian, Registered
750 WASHINGTON ST, FRANCES STERN NUTRITION CENTER
BOSTON, MA 02111
Suffolk County (617) 636-5273
DR. NADINE YOUSSEF M.D.
Emergency Medicine
750 WASHINGTON ST, BOX 311 / DEPARTMENT OF EMERGENCY MEDICINE
BOSTON, MA 02111
Suffolk County (617) 636-4723
DR. GORDON M SAPERIA MD
Internal Medicine (Interventional Cardiology)
750 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
ANBUKILI K. CHETTY M.D.
Pediatrics (Pediatric Pulmonology)
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000
KATIE WAKELEY M.D.
Obstetrics & Gynecology
750 WASHINGTON ST, NEMC BOX #836
BOSTON, MA 02111
Suffolk County (617) 636-5000

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 Mario Cordova's NPI number?

The NPI number for Mario Cordova is 1548353618. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mario Cordova located?

Mario Cordova practices at 750 Washington St Nemc Box #836, Boston, MA 02111. The listed phone number is (617) 636-5000.

What is Mario Cordova's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mario Cordova enrolled in Medicare?

Yes. Mario Cordova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mario Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Cordova reassigns Medicare benefits to Pratt Pediatric Associates Inc (Boston, 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 Mario Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Cordova accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Mario Cordova 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 Mario Cordova was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.