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PATRICIA I IBEZIAKO MD
NPI 1851500300
Psychiatry & Neurology - Child & Adolescent Psychiatry in Boston, MA

Active since May 22, 2007PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6680(617) 730-0319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia I Ibeziako Md NPPES

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

PATRICIA I IBEZIAKO MD (NPI 1851500300) is an individual child & adolescent psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (224005) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851500300
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NamePATRICIA I IBEZIAKOCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address104 Queensberry St, Apt BBoston, MA 02215-4714 · (617) 670-3528
Phone(617) 355-6680
Fax(617) 730-0319
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851500300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MA · 224005
Definition
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.
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, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia I Ibeziako 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.

Medicare Billing Reassignment

Medicare enrollment records show Patricia Ibeziako reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richmond Psychiatry Group Practice
Same address
Child & Adolescent Psychiatry
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 86 clinicians in this Medicare group
NPI 1629148036 (617) 355-4831

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

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 Patricia Ibeziako's NPI number?

The NPI number for Patricia Ibeziako is 1851500300. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Patricia Ibeziako located?

Patricia Ibeziako practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6680.

What is Patricia Ibeziako's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Patricia Ibeziako enrolled in Medicare?

Yes. Patricia Ibeziako is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Ibeziako's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Ibeziako reassigns Medicare benefits to Richmond Psychiatry Group Practice (Boston, MA). The 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 Patricia Ibeziako's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Ibeziako accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Patricia Ibeziako 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 Patricia Ibeziako was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.