DR. PAUL A CANNISTRARO M.D.
NPI 1639165988
Psychiatry & Neurology - Psychiatry in Cambridge, MA
About Dr. Paul A Cannistraro M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL A CANNISTRARO M.D. (NPI 1639165988) is an individual psychiatry provider in Cambridge, Massachusetts, licensed in Massachusetts (215892) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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. Paul A Cannistraro 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.
Medicare Billing Reassignments
2Medicare enrollment records show Paul Cannistraro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Cannistraro's NPI number?
The NPI number for Paul Cannistraro is 1639165988. It was assigned to this individual provider in the NPPES registry on September 22, 2005.
Where is Paul Cannistraro located?
Paul Cannistraro practices at 12 Arrow St Ste 210, Cambridge, MA 02138. The listed phone number is (617) 460-1053.
What is Paul Cannistraro's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Paul Cannistraro enrolled in Medicare?
Yes. Paul Cannistraro 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 Paul Cannistraro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Cannistraro reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Paul Cannistraro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Cannistraro accept?
Health plans from Harvard Pilgrim Health Care list Paul Cannistraro 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 Paul Cannistraro was last updated on November 13, 2020. 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.
# Dr. Paul A Cannistraro, M.D. · NPI 1639165988
Psychiatry physician in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since September 22, 2005.
## Identity
- **NPI:** 1639165988 (Entity type: Individual)
- **Enumerated:** September 22, 2005
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 215892 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12 ARROW ST STE 210, Cambridge, MA 02138-5105
- **Phone:** (617) 460-1053 · **Fax:** (617) 848-9485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** November 13, 2020
- **Other identifiers:** Medicaid 2042291 (MA); Other J27378 (MA); Other 469409 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639165988) · Data from the CMS NPPES public registry.