Individual provider Active NPI

Cecilia Ponchiardi, M.D.

  • Clinical Pathology Physician
  • Boston, MA
National Provider Identifier
1689916702
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
269202 Issued in MA
Practice address
330 Brookline Avenue
Bidmc - Department of Pathology - Ground Floor
Boston, MA 02215
Phone
(617) 667-4344
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology Physician 207ZC0006X 269202 MA Primary

Addresses

Primary practice location

330 Brookline Avenue
Bidmc - Department of Pathology - Ground Floor
Boston, MA 02215

Mailing address

330 Brookline Ave.
Bidmc - Department of Pathology - Ground Floor
Boston, MA 02215-5400

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
I20181213002885 MA Practitioner - Pathology 9436377249 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of Lowell PCGroup PAC ID 5193814598, 8 clinicians
Pratt Pathology Associates IncGroup PAC ID 0345131637, 24 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6342

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 28, 2018 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 28, 2018 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 28, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 16, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 16, 2019 Accepting new patients
Pathology Associates of Lowell, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Pratt Pathology Associates, Inc CurrentSince Apr 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 28, 2018 Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

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

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

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

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 8

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.

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1689916702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE.",
            "address_2": "BIDMC - DEPARTMENT OF PATHOLOGY - GROUND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVENUE",
            "address_2": "BIDMC - DEPARTMENT OF PATHOLOGY - GROUND FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCHIARDI",
        "first_name": "CECILIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MA",
            "license": "269202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.