Individual provider Active NPI

Ellen T Geminiani, M.D.

  • Family Medicine Physician
  • Boston, MA
National Provider Identifier
1457312472
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226579 Issued in MA
Practice address
319 Longwood Ave
Children's Hospital
Boston, MA 02115-5728
Phone
(617) 355-6028
Fax
(617) 731-5298
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 226579 MA Primary

Addresses

Primary practice location

319 Longwood Ave
Children's Hospital
Boston, MA 02115-5728

Mailing address

319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 355-6028

Other identifiers 1

IdentifierTypeStateIssuer
2119510MedicaidMA

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
I20060207000207 MA Practitioner - Sports MedicinePractitioner - Family Practice 3476568890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Albany Medical College of Union University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WHSP Medical, PCGroup PAC ID 0749793586, 3 clinicians

Practice addresses (Care Compare)

20 Guest St
Suite 200
Brighton, MA 02135-2040
Phone (617) 475-0496

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Sports Medicine Foundation Inc. CurrentSince Dec 1, 2005 Accepting new patients
WHSP Medical PC CurrentSince Aug 1, 2025 Accepting new patients
Children's Sports Medicine Foundation Past Accepting new patients

Locations

319 Longwood Ave
Boston, MA 02115
Phone (617) 277-1400

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

20 Guest St
Ste 200
Brighton, MA 02135
Phone (617) 362-6450

Interoperability endpoints

  • Direct secure messaging: ellen.geminiani.1@33525.direct.athenahealth.com
  • Direct secure messaging: egeminiani26700@direct.bostonchildrens.org

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1457312472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-355-6028",
            "fax_number": "617-731-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "address_2": "CHILDREN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-355-6028",
            "fax_number": "617-731-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMINIANI",
        "first_name": "ELLEN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.