RICHARD PRUDENCIO M.D.
NPI 1598837452
Rehabilitation Hospital in Cambridge, MA

Active since November 15, 2006PECOS Enrolled
1575 CAMBRIDGE ST, CAMBRIDGE, MA 02138(617) 876-4344(617) 234-7950 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Prudencio M.d. NPPES

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

RICHARD PRUDENCIO M.D. (NPI 1598837452) is an individual rehabilitation hospital provider in Cambridge, Massachusetts, licensed in Massachusetts (223241) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598837452
Entity TypeIndividualMale
Primary Taxonomy283X00000X
Provider Legal NameRICHARD PRUDENCIOCredential: M.D.
Location Address1575 CAMBRIDGE STCambridge, MA 02138-4308
Mailing Address289 Highland Ave, 108Somerville, MA 02144-3209 · (617) 876-4344 · Fax (617) 234-7950
Fax(617) 234-7950
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1598837452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License Licensed in MA · 223241
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
1575 CAMBRIDGE ST, Cambridge, MA 02138

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 Prudencio 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.

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.

Registered Nurse
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Social Worker (Clinical)
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Nurse Practitioner
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Long Term Care Hospital
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Internal Medicine
1575 CAMBRIDGE ST, DIVISION OF INTERNAL MEDICINE
CAMBRIDGE, MA 02138
Physical Therapist
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Nurse Practitioner (Adult Health)
1575 CAMBRIDGE ST, YOUVILLE HOSPITAL
CAMBRIDGE, MA 02138
Long Term Care Hospital
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138

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 Prudencio's NPI number?

The NPI number for Richard Prudencio is 1598837452. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Richard Prudencio located?

Richard Prudencio practices at 1575 Cambridge St, Cambridge, MA 02138. The listed phone number is (617) 876-4344.

What is Richard Prudencio's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Is Richard Prudencio enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Prudencio was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.