Individual provider Active NPI

Elizabeth B Caronna, MD

  • Developmental - Behavioral Pediatrics Physician
  • Boston, MA
National Provider Identifier
1174514855
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
205381 Issued in MA
Practice address
One Boston Medical Center Place
Child Health Foundation of Boston Dowling 3 South
Boston, MA 02118
Phone
(617) 414-5170
Fax
(617) 414-3803
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 205381 MA
Developmental - Behavioral Pediatrics Physician 2080P0006X 205381 MA Primary

Addresses

Primary practice location

One Boston Medical Center Place
Child Health Foundation of Boston Dowling 3 South
Boston, MA 02118

Mailing address

One Boston Medical Center Place
Division of Pediatrics Dowling 3 South
Boston, MA 02118
Phone (617) 414-5170

Other identifiers 1

IdentifierTypeStateIssuer
0122238MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000318 MA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7810911864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205381MAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Pediatrics CurrentSince Nov 1, 2010 Accepting new patients
Atrius Health, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Atrius Health, Inc. Pediatrics Past Accepting new patients
Child Health Foundation of Boston, Inc. Pediatrics Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

230 Worcester St
Wellesley Hills, MA 02481
Phone (781) 431-5200

Interoperability endpoints

  • Direct secure messaging: ecaronnamd24126@direct.atrius.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174514855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BOSTON MEDICAL CENTER PLACE",
            "address_2": "DIVISION OF PEDIATRICS DOWLING 3 SOUTH",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5170",
            "fax_number": "617-414-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BOSTON MEDICAL CENTER PLACE",
            "address_2": "CHILD HEALTH FOUNDATION OF BOSTON DOWLING 3 SOUTH",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5170",
            "fax_number": "617-414-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARONNA",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "205381",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MA",
            "license": "205381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122238",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.