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TINA BANZON MD
NPI 1821597253
Pediatrics - Pediatric Allergy/Immunology in Boston, MA

Active since February 12, 2018PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, Feb 12, 2018 (2 updates tracked since 2018).

About Tina Banzon Md NPPES

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

TINA BANZON MD (NPI 1821597253) is an individual pediatric allergy/immunology provider in Boston, Massachusetts, licensed in Massachusetts (291994) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821597253
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameTINA BANZONCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724
Phone(617) 355-6000
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1821597253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in MA · 291994
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
300 LONGWOOD AVE, Boston, MA 02115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Banzon Md 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
MRS. LAUREN ASHLEY SHARIS 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 Tina Banzon's NPI number?

The NPI number for Tina Banzon is 1821597253. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Tina Banzon located?

Tina Banzon practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Tina Banzon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Tina Banzon enrolled in Medicare?

Yes. Tina Banzon is registered in the Medicare PECOS enrollment system.

What insurance does Tina Banzon accept?

Health plans from Anthem Blue Cross and Blue Shield list Tina Banzon 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 Tina Banzon was last updated on May 25, 2022. 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.