Individual provider Active NPI

Robyn L Riseberg, M.D.

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1770562282
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
223769 Issued in MA
Practice address
527 Albany St Ste 200
Boston, MA 02118-2511
Phone
(617) 934-6009
Fax
(617) 934-7102
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 223769 MA Primary

Addresses

Primary practice location

527 Albany St Ste 200
Boston, MA 02118-2511

Mailing address

527 Albany St Ste 200
Boston, MA 02118-2511
Phone (617) 934-6009

Other practice location 1

527 Albany St Ste 200
Boston, MA 02118-2511
Phone (508) 437-6700

Other practice location 2

1601 Washington St
Boston, MA 02118-1951
Phone (617) 425-2000 ext. 7618

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
I20050628000775 MA Practitioner - Pediatric Medicine 8628013810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Massachusetts Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Community Pediatrics IncGroup PAC ID 9830500388, 2 clinicians

Practice addresses (Care Compare)

527 Albany St
Suite 200
Boston, MA 02118-2511
Phone (617) 934-6009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223769MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Community Pediatrics Inc Pediatrics CurrentSince Sep 1, 2020 Accepting new patients
Children's Hospital Pediatric Associates, Inc Pediatrics PastSince Oct 22, 2023 Accepting new patients
Child Health Foundation of Boston, Inc. Pediatrics Past Accepting new patients

Locations

527 Albany St
#200
Boston, MA 02118
Phone (617) 934-6009

75 Francis St
Boston, MA 02115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22231/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robyn.riseberg.1@22231.direct.athenahealth.com

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1770562282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ALBANY ST STE 200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182511",
            "telephone_number": "617-934-6009",
            "fax_number": "617-934-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 ALBANY ST STE 200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182511",
            "telephone_number": "617-934-6009",
            "fax_number": "617-934-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Albany St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182511",
            "country_code": "US",
            "telephone_number": "508-437-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021181951",
            "country_code": "US",
            "telephone_number": "617-425-2000 x7618",
            "fax_number": "617-425-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISEBERG",
        "first_name": "ROBYN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "223769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.