Individual provider Active NPI

Arnold Joseph Sansevere Jr., M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Boston, MA
National Provider Identifier
1629217641
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
253339 Issued in MA
Practice address
300 Longwood Ave
Fegan 9
Boston, MA 02115-5724
Phone
(609) 709-8911
NPI assigned
Feb 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 253339 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Fegan 9
Boston, MA 02115-5724

Mailing address

106 Queensberry St
Apartment 10
Boston, MA 02215-4713
Phone (609) 709-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140715000034 MA Practitioner - Neurology 3779708474 Reassigns benefits to 4 organizations
I20210720000436 DC Practitioner - NeurologyPractitioner - Pediatric Medicine 3779708474 Reassigns benefits to 2 organizations
I20260511002189 WA Practitioner - NeurologyPractitioner - Other (Physician) 3779708474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Drexel University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Pediatric Associates IncGroup PAC ID 3779475371, 6 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veeone Medical Group PA CurrentSince May 29, 2023 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince May 3, 2021 Accepting new patients
C H Neurology Foundation Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jul 1, 2014 Accepting new patients
Pratt Pediatric Associates Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jul 1, 2024 Accepting new patients
Ccmma SC LLC CurrentSince Jul 1, 2025 Accepting new patients
Children'S Hospital CurrentSince May 3, 2021 Accepting new patients
Veeone Medical Group II Professional Corporation Past Accepting new patients

Locations

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

300 Longwood Ave
#9
Boston, MA 02115
Phone (617) 355-2413

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

Interoperability endpoints

  • Direct secure messaging: asansevere159786@direct.bostonchildrens.org

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1629217641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 QUEENSBERRY ST",
            "address_2": "APARTMENT 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154713",
            "telephone_number": "609-709-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FEGAN 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "609-709-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSEVERE",
        "first_name": "ARNOLD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-14",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "253339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.