Individual provider Active NPI

Paul H Lerou, MD

  • Neonatal-Perinatal Medicine Physician
  • Boston, MA
National Provider Identifier
1194780536
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
209923 Issued in MA
Practice address
55 Fruit St
Founders 526C
Boston, MA 02114-2621
Phone
(617) 724-9040
NPI assigned
Apr 19, 2006
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 209923 MA Primary
Pediatrics Physician 208000000X 209923 MA

Addresses

Primary practice location

55 Fruit St
Founders 526C
Boston, MA 02114-2621

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 724-9040

Other practice location 1

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Other practice location 2

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 562-7077

Other identifiers 3

IdentifierTypeStateIssuer
J28743OtherMABCBS
2103061MedicaidMA
468199OtherMATUFTS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050708000331 MA Practitioner - Pediatric Medicine 5395781686 Reassigns benefits to 7 organizations
I20210521001552 NH Practitioner - Pediatric Medicine 5395781686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209923MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince Oct 1, 2015 Accepting new patients
General Hospital Corp Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince May 19, 2021 Accepting new patients
The General Hospital Corporation CurrentSince Oct 1, 2015 Accepting new patients
Brigham & Womens Physicians Organization Inc Neonatal-Perinatal Medicine CurrentSince May 30, 2015 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince May 19, 2021 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients

Locations

55 Fruit St
#526C
Boston, MA 02114
Phone (617) 724-9040

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#2
Dover, NH 03820
Phone (603) 740-2263

Interoperability endpoints

  • Direct secure messaging: plerou252562@direct.bmc.masshiway.net
  • Direct secure messaging: lerou.paul.mgh@direct.partners.masshiway.net

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1194780536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FOUNDERS 526C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352907",
            "country_code": "US",
            "telephone_number": "617-562-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROU",
        "first_name": "PAUL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MA",
            "license": "209923",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "209923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J28743",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103061",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "468199",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.