Individual provider Active NPI

Elijah Essandoh Paintsil, M.D

  • Pediatric Infectious Diseases Physician
  • Boston, MA
National Provider Identifier
1255335717
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
1016464 Issued in MA
Practice address
801 Massachusetts Ave.
Crosstown BLDG FL 7
Boston, MA 02118
Phone
(617) 414-4841
NPI assigned
Jun 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 1016464 MA Primary

Addresses

Primary practice location

801 Massachusetts Ave.
Crosstown BLDG FL 7
Boston, MA 02118

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20050809000560 CT Practitioner - Pediatric MedicinePractitioner - Infectious Disease 7214966381 Reassigns benefits to 1 organization
I20231023000625 MA Practitioner - Pediatric MedicinePractitioner - Infectious Disease 7214966381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016464MAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jul 1, 2005 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatric Infectious Diseases CurrentSince Nov 1, 2018 Accepting new patients
Child Health Foundation of Boston, Inc. Pediatric Infectious Diseases CurrentSince Aug 30, 2023 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Yale University CurrentSince Jul 1, 2005 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatric Infectious Diseases CurrentSince Nov 1, 2018 Accepting new patients

Locations

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000

960 Massachusetts Ave
Ste 2
Boston, MA 02118

Interoperability endpoints

  • Direct secure messaging: epaintsil8257@direct.ynhh.org
  • Direct secure messaging: epaintsil240605@direct.bmc.masshiway.net

Organizations & group practices 6

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": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1255335717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVE.",
            "address_2": "CROSSTOWN BLDG FL 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTSIL",
        "first_name": "ELIJAH",
        "middle_name": "ESSANDOH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MA",
            "license": "1016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.