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DR. ALISSA D'GAMA MD PHD
NPI 1790280204
Pediatrics - Neonatal-Perinatal Medicine in Boston, MA

Active since March 27, 2018PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, Jun 12, 2018, Mar 27, 2018 (3 updates tracked since 2018).

About Dr. Alissa D'gama Md Phd NPPES

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

DR. ALISSA D'GAMA MD PHD (NPI 1790280204) is an individual neonatal-perinatal medicine provider in Boston, Massachusetts, licensed in Massachusetts (287315) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790280204
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ALISSA D'GAMACredential: MD PHD
Location Address300 LONGWOOD AVEBoston, MA 02115
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Phone(617) 355-6000
Sole ProprietorNo
Enumeration DateMarch 27, 2018
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1790280204 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 · 287315
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.
300 LONGWOOD AVE, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alissa D'gama Md Phd 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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Alissa D'gama's NPI number?

The NPI number for Alissa D'gama is 1790280204. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Alissa D'gama located?

Alissa D'gama practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Alissa D'gama's specialty?

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

Is Alissa D'gama enrolled in Medicare?

Yes. Alissa D'gama is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa D'gama was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.