SUZANNE GOUDA
NPI 1891175816
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2022, Jul 13, 2021 (2 updates tracked since 2021).

About Suzanne Gouda NPPES

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

SUZANNE GOUDA (NPI 1891175816) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (292781) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2015).

NPPES Registry Identity

NPI1891175816
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSUZANNE GOUDA
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1891175816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses Licensed in MA · 292781 Licensed in PA · MT223220
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 125066761 (IL)
Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License MT223220 (PA), 292781 (MA)
300 LONGWOOD AVE, Boston, MA 02115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suzanne Gouda 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.

PECOS PAC ID6800195975
PECOS Enrollment IDI20220815002785
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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Suzanne Gouda's NPI number?

The NPI number for Suzanne Gouda is 1891175816. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Suzanne Gouda located?

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

What is Suzanne Gouda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Suzanne Gouda enrolled in Medicare?

Yes. Suzanne Gouda 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.

When was this NPI record last updated?

The NPPES record for Suzanne Gouda was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.