DR. PAULA KAREN RAUCH MD
NPI 1720078033
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA
NPI Status: Active since October 27, 2005
Contact Information
55 FRUIT ST
YAW 6900
BOSTON, MA
ZIP 02114
Phone: (617) 724-3923
Fax: (617) 726-5567
- Individual
- Female
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- PECOS Enrolled
About PAULA RAUCH
This page provides the complete NPI Profile along with additional information for Paula Rauch, a provider established in Boston, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1720078033 assigned on October 2005. The practitioner's primary taxonomy code is 2084P0804X with license number 51303 (MA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1720078033
- Provider Name
- DR. PAULA KAREN RAUCH MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST YAW 6900 BOSTON, MA 02114
- Location Phone
- (617) 724-3923
- Location Fax
- (617) 726-5567
- Mailing Address
- PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION CHARLESTOWN, MA 02129
- Mailing Phone
- (617) 724-5600
- Mailing Fax
- (617) 726-5567
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2005
- Last Update Date
- 07-31-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 51303
- License State
- MA
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J02925 | OTHER (01) | MA | BCBS MA |
| 724839 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| A56905 | MEDICARE UPIN (02) | ||
| 3045625 | MEDICAID (05) | MA | |
| J02925 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
Medicare Participation & PECOS Enrollment Status
Paula Rauch is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720078033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720078033, enumerated as an "individual" on October 27, 2005.
The provider is located at 55 FRUIT ST YAW 6900 BOSTON, MA 02114 and the phone number is (617) 724-3923.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to verify.
