Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PEDIATRIC ASSOCIATES OF FALL RIVER, INC
NPI 1619930146
Pediatrics in Fall River, MA

Active since April 07, 2006CLIA 22D0081613 · Certificate of Compliance
851 MIDDLE ST STE 1100, FALL RIVER, MA 02721(508) 324-6800(508) 324-6828 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Associates Of Fall River, Inc NPPES

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

PEDIATRIC ASSOCIATES OF FALL RIVER, INC (NPI 1619930146) is a healthcare organization registered as a pediatrics in Fall River, Massachusetts and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 27, 2028 and lists Staci M Resnick, President, as its authorized official.

NPPES Registry Identity

NPI1619930146
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF FALL RIVER, INC
Location Address851 MIDDLE ST STE 1100Fall River, MA 02721-1779
Mailing Address851 Middle St Ste 1100Fall River, MA 02721-1779 · (508) 324-6800 · Fax (508) 324-6828
Fax(508) 324-6828
Organization SubpartNo
Authorized OfficialStaci M ResnickPresident · (508) 324-6800
Enumeration DateApril 7, 2006
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1619930146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
851 MIDDLE ST STE 1100, Fall River, MA 02721

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pediatric Associates Of Fall River, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20060131000354Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pediatric Associates Of Fall River, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Pediatric Medicine
NPI 1588127088
851 MIDDLE ST STE 1100
Fall River, MA 02721
(508) 324-6800
✔ PECOSSame address
Pediatric Medicine
NPI 1518909936
851 MIDDLE ST SUITE 1100
Fall River, MA 02721
(508) 324-6800
✔ PECOSSame address
Nurse Practitioner
NPI 1760822647
851 MIDDLE ST
Fall River, MA 02721
(508) 324-6800
✔ PECOSSame address
Pediatric Medicine
NPI 1780649467
851 MIDDLE ST SUITE 1100
Fall River, MA 02721
(508) 324-6800
✔ PECOSSame address
Pediatric Medicine
NPI 1912109778
829 S MAIN ST
Fall River, MA 02724
(508) 324-6800
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 22D0081613

Pediatric Associates Of Fall River · Fall River, MA
Active · expires Oct 27, 2028
CLIA Number22D0081613
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2026
Certificate Expiration DateOctober 27, 2028
Laboratory DirectorMargaret M. Pyle
Laboratory Phone(508) 324-6800
Laboratory LocationPediatric Associates Of Fall River851 Middle Street Suite 1100, Fall River, MA 02721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Pediatric Associates Of Fall River, Inc's NPI number?

The NPI number for Pediatric Associates Of Fall River, Inc is 1619930146. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Pediatric Associates Of Fall River, Inc located?

Pediatric Associates Of Fall River, Inc is located at 851 Middle St Ste 1100, Fall River, MA 02721. The listed phone number is (508) 324-6800.

What is Pediatric Associates Of Fall River, Inc's specialty?

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

Is Pediatric Associates Of Fall River, Inc enrolled in Medicare?

Yes. Pediatric Associates Of Fall River, Inc is registered in the Medicare PECOS enrollment system.

When is Pediatric Associates Of Fall River, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pediatric Associates Of Fall River, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pediatric Associates Of Fall River, Inc. A 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 the clinician's services. The largest specialties are Pediatric Medicine (4) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pediatric Associates Of Fall River, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0081613) is associated with this NPI, valid through October 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Associates Of Fall River, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Pediatric Associates Of Fall River, Inc 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 Pediatric Associates Of Fall River, Inc was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.