Active NPI
Barry I Rosenblum, DPM
- Podiatrist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1869
- Practice address
- 185 Pilgrim Rd
Division of Podiatry
Boston, MA 02215-5324 - Phone
- (617) 632-7074
- Fax
- (617) 632-7085
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1869 | MA | Primary |
Addresses
Primary practice location
185 Pilgrim Rd
Division of Podiatry
Boston, MA 02215-5324
Mailing address
185 Pilgrim Rd
Division of Podiatry
Boston, MA 02215-5324
Phone (617) 632-7074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0362824 | Medicaid | MA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
114 N Beacon St
Suite 116
Brighton, MA 02135-2011
Phone (781) 983-9088
116 N Beacon St
Brighton, MA 02135-2011
Phone (617) 783-5200
200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088
330 Brookline Ave
Boston, MA 02215-5400
600 Unicorn Park Dr
Woburn, MA 01801-3376
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 127 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1869 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Podiatrist | Current | Accepting new patients |
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients |
Locations
1 Deaconess Rd
#3
Boston, MA 02215
Phone (617) 632-8428
185 Pilgrim Rd
Boston, MA 02215
Phone (617) 632-8252
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
110 Liberty St
Brockton, MA 02301
110 Liberty St
Ste 2C
Brockton, MA 02301
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
Interoperability endpoints
- barry.rosenblum@direct.signature.masshiway.net
- brosenblum254078@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
Podiatrist
-
- Ambulance
- Boston, MA
- NPI 1518600501
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1932148962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PILGRIM RD",
"address_2": "DIVISION OF PODIATRY",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155324",
"telephone_number": "617-632-7074",
"fax_number": "617-632-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 PILGRIM RD",
"address_2": "DIVISION OF PODIATRY",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155324",
"telephone_number": "617-632-7074",
"fax_number": "617-632-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBLUM",
"first_name": "BARRY",
"middle_name": "I",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0362824",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.