Active NPI
Randa I Reitman, MD
- Pediatrics Physician
- Boston, MA
National Provider Identifier
1982686317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 81421
- Practice address
- 850 Harrison Ave
Yacc5
Boston, MA 02118-4001 - Phone
- (617) 414-5946
- Fax
- (617) 414-4541
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 81421 | MA | Primary |
Addresses
Primary practice location
850 Harrison Ave
Yacc5
Boston, MA 02118-4001
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110056188A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81421 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Pediatrics LLP | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3552/brand/1/csg/1/fhir/r4
- rreitman349948@direct.ochin.org
Organizations & group practices 1
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.
-
- Specialist
- Forestdale, MA
- NPI 1053423087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1982686317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVE",
"address_2": "YACC5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184001",
"telephone_number": "617-414-5946",
"fax_number": "617-414-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITMAN",
"first_name": "RANDA",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "81421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110056188A",
"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 Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.