MICHELE F GREENWALD M.D.
NPI 1124006754
Pediatrics in Braintree, MA
NPI Status: Active since January 04, 2006
Contact Information
111 GROSSMAN DR
BRAINTREE, MA
ZIP 02184
Phone: (781) 849-2300
Fax: (781) 849-2377
- Individual
- Female
- Years of Experience 33
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHELE GREENWALD
This page provides the complete NPI Profile along with additional information for Michele Greenwald, a pediatrician established in Braintree, Massachusetts with a medical specialization in Pediatrics and more than 33 years of experience. She graduated from Boston University School Of Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1124006754 assigned on January 2006. The practitioner's primary taxonomy code is 208000000X with license number 81760 (MA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1124006754
- Provider Name
- MICHELE F GREENWALD M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 GROSSMAN DR BRAINTREE, MA 02184
- Location Phone
- (781) 849-2300
- Location Fax
- (781) 849-2377
- Mailing Address
- 111 GROSSMAN DR BRAINTREE, MA 02184
- Mailing Phone
- (781) 849-2300
- Mailing Fax
- (781) 849-2377
- Medical School Name
- BOSTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1993
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-04-2006
- Last Update Date
- 11-16-2020
- Code Navigator
A pediatrician like Michele Greenwald is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 81760
- License State
- MA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 081760 | OTHER (01) | MA | TUFTS |
| 3154751 | MEDICAID (05) | MA | |
| 0015204 | OTHER (01) | MA | NEIGHBORHOOD HEALTH |
| B10460202 | OTHER (01) | MA | CIGNA |
| PP859 | OTHER (01) | MA | HARVARD PILGRIM |
| J17000 | OTHER (01) | MA | BLUE CROSS |
Medicare Participation & PECOS Enrollment Status
Michele Greenwald is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michele Greenwald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517153380
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101119000429
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.41 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02184 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 0 | 6 | 7 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 0 | 12 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 0 + 1 + 2 + 7 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1124006754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598750598 | DR. HIKARU ISIHARA M.D., PH.D. Individual | Internal Medicine | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2241 |
| 1669446555 | BARBARA HEALEY WILSON NP Individual | Nurse Practitioner | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-1000 |
| 1366410284 | JENNIFER Y CHEN NP Individual | Nurse Practitioner | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-1000 |
| 1518935642 | GEORGE W HOLMES M.D. Individual | Internal Medicine | 111 GROSSMAN DR INTERNAL MEDICINE BRAINTREE, MA 02184 (781) 849-2400 |
| 1174592786 | MYTREI CHATURVEDULA DMD Individual | Dentist (General Practice) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2255 |
| 1629047139 | RAYMOND WIDICAN DDS Individual | Dentist (Pediatric Dentistry) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2255 |
| 1992766554 | LINDA M ST CROIX NP Individual | Nurse Practitioner | 111 GROSSMAN DR BRAINTREE, MA 02184 (617) 559-8053 |
| 1316901507 | ELVIRA K BELENKY PA Individual | Physician Assistant | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-1000 |
| 1972568343 | MICHELLE J MORRIS PA Individual | Physician Assistant | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-1000 |
| 1104877539 | VICKI E. BEGGS PHD Individual | Psychologist | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1063464931 | JEAN M. CHARETTE LMHC Individual | Counselor (Mental Health) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1093769713 | ROSEMARIE CARDONE RNCS Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1588611396 | ELEANOR F. MAPPS RNCS Individual | Registered Nurse (Psychiatric/Mental Health) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1538106737 | DAVID WINNICK M.D. Individual | Orthopaedic Surgery | 111 GROSSMAN DR HARVARD VANGUARD MED ASSOC BRAINTREE, MA 02184 (781) 849-2285 |
| 1598709644 | ERIC H SAWITZ M.D. Individual | Internal Medicine | 111 GROSSMAN DR INTERNAL MEDICINE BRAINTREE, MA 02184 (781) 849-1000 |
| 1891731253 | MAHMOODA QURESHI M.D. Individual | Internal Medicine | 111 GROSSMAN DR INTERNAL MEDICINE BRAINTREE, MA 02184 (781) 849-2400 |
| 1649293747 | ROBERT J. SCHNEIDER EDD Individual | Psychologist | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1760490544 | CONSTANCE J. CLARKE RNCS Individual | Registered Nurse (Psychiatric/Mental Health, Adult) | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2275 |
| 1659463339 | WILLIAM J. MULLALLY MD Individual | Psychiatry & Neurology (Neurology) | 111 GROSSMAN DR NEUROLOGY BRAINTREE, MA 02184 (781) 849-2265 |
| 1346305059 | JANE BRADY DPM Individual | Podiatrist | 111 GROSSMAN DR BRAINTREE, MA 02184 (781) 849-2285 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124006754, enumerated in the NPI registry as an "individual" on January 04, 2006
The provider is located at 111 Grossman Dr Braintree, Ma 02184 and the phone number is (781) 849-2300
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider has more than 33 years of experience. She graduated from Boston University School Of Medicine in 1993.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Tufts Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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