NPIMap

Individual provider Active NPI

Manuel N Pacheco, M.D.

  • Psychosomatic Medicine Physician
  • Boston, MA
National Provider Identifier
1982695284
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
216680 Issued in MA
Practice address
800 Washington St
Tufts Medical Center Box 1007
Boston, MA 02111-1552
Phone
(617) 872-6522
Fax
(617) 876-9998
NPI assigned
Nov 4, 2005
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 216680 MA
Psychiatry Physician 2084P0800X 216680 MA
Psychosomatic Medicine Physician 2084P0015X 216680 MA Primary

Addresses

Primary practice location

800 Washington St
Tufts Medical Center Box 1007
Boston, MA 02111-1552

Mailing address

PO Box 440304
West Somerville, MA 02144-0027
Phone (617) 872-6522

Other identifiers 1

IdentifierTypeStateIssuer
2106655MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000793 MA Practitioner - Psychiatry 0648206987 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Pennsylvania, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn HospitalGroup PAC ID 2668364183, 8 clinicians

Practice addresses (Care Compare)

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5054

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tufts Medical Center, Inc. CurrentSince Dec 24, 2012 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Current Accepting new patients
Pratt Psychiatric Associates, Inc Psychiatry CurrentSince Nov 15, 2010 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 1, 2005 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2025 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 1, 2005 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2025 Accepting new patients
Tufts Medical Center, Inc. CurrentSince Dec 24, 2012 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Mount Auburn Hospital Past Accepting new patients
Massachusetts General Physicians Organization Inc Psychiatry Past Accepting new patients

Locations

25 Staniford St
Boston, MA 02114
Phone (617) 626-8500

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

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

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

800 Washington St
#1007
Boston, MA 02111
Phone (617) 636-1636

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

85 Newton St
Boston, MA 02118
Phone (617) 305-9960

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

Interoperability endpoints

  • Direct secure messaging: mpacheco253632@direct.bilh.masshiway.net
  • Direct secure messaging: mpacheco29267@tuftsmedicine.direct-ci.com

Organizations & group practices 12

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1982695284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440304",
            "city": "WEST SOMERVILLE",
            "state": "MA",
            "postal_code": "021440027",
            "telephone_number": "617-872-6522",
            "fax_number": "617-876-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "TUFTS MEDICAL CENTER BOX 1007",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-872-6522",
            "fax_number": "617-876-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MANUEL",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "216680",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "216680",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MA",
            "license": "216680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106655",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.