MILL BROOK PEDIATRICS
NPI 1609975069
Pediatrics - Adolescent Medicine in Sudbury, MA
NPI Status: Active since September 22, 2006
Contact Information
490 BOSTON POST RD
SUDBURY, MA
ZIP 01776
Phone: (978) 443-0707
- Organization
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- CLIA Number: 22D0890854
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-04-2026
About MILL BROOK PEDIATRICS
This page provides the complete NPI Profile along with additional information for Mill Brook Pediatrics, a pediatrician established in Sudbury, Massachusetts operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1609975069 assigned on September 2006. The practitioner's primary taxonomy code is 2080A0000X with license number 79768 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Mill Brook Pediatrics operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. William Wirth Md (Doctor)
- NPI
- 1609975069
- Provider Name
- MILL BROOK PEDIATRICS
- Entity Type
- Organization
- Location Address
- 490 BOSTON POST RD SUDBURY, MA 01776
- Location Phone
- (978) 443-0707
- Mailing Address
- 490 BOSTON POST RD SUDBURY, MA 01776
- Mailing Phone
- (978) 443-0707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Mill Brook Pediatrics 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 Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 79768
- License State
- MA
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D0890854
- Facility Type
- Physician Office
- Certificate Effective Date
- December 05, 2024
- Certificate Expiration Date
- December 04, 2026
- Laboratory Director
- ROBERT H. ANDLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mill Brook Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MILL BROOK PEDIATRICS
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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 | 6 | 0 | 9 | 9 | 7 | 5 | 0 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 7 | 10 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 7 + 1 + 0 + 0 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1609975069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558351676 | ANDREA R RIZZO MD Individual | Internal Medicine | 490 BOSTON POST RD SUITE 203 SUDBURY, MA 01776 (978) 443-6086 |
| 1679614978 | PAULA JO CARBONE M.D.,P.C. Organization | Internal Medicine | 490 BOSTON POST RD SUITE 2001 SUDBURY, MA 01776 (978) 443-8810 |
| 1659507549 | MS. DANA KAREN FREIER PNP Individual | Pediatrics (Adolescent Medicine) | 490 BOSTON POST RD SUITE 2002 SUDBURY, MA 01776 (978) 443-0707 |
| 1164655502 | ANDREA C BERTORELLI CPNP Individual | Nurse Practitioner | 490 BOSTON POST RD SUITE 2002 SUDBURY, MA 01776 (978) 443-0707 |
| 1407596158 | LILY KEATING OTR/L Individual | Occupational Therapist | 490 BOSTON POST RD SUDBURY, MA 01776 (585) 747-9902 |
| 1386370344 | KATHERINE RYAN OTR/L Individual | Occupational Therapist | 490 BOSTON POST RD SUDBURY, MA 01776 (978) 631-3201 |
| 1245967421 | ALLISON KOBIELSKI OTR/L Individual | Occupational Therapist | 490 BOSTON POST RD SUDBURY, MA 01776 (978) 631-3201 |
| 1205539962 | LAUREN COSTEDIO Individual | Speech-Language Pathologist | 490 BOSTON POST RD SUDBURY, MA 01776 (585) 747-9902 |
| 1720450802 | SUDBURY SPEECH AND LANGUAGE THERAPY, LLC Organization | Speech-Language Pathologist | 490 BOSTON POST RD SUDBURY, MA 01776 (585) 747-9902 |
| 1265111728 | AMIKA JASTY Individual | Occupational Therapist | 490 BOSTON POST RD SUDBURY, MA 01776 (585) 747-9902 |
| 1275308173 | ANIA SPINA Individual | Speech-Language Pathologist | 490 BOSTON POST RD SUDBURY, MA 01776 (978) 631-3201 |
| 1770698664 | RANDALL H MCSHINE M.D. Individual | Internal Medicine | 490 BOSTON POST RD SUDBURY, MA 01776 (978) 579-6018 |
| 1417781840 | RISING SUN ADULT DAY HEALTHCARE, INC Organization | Clinic/Center (Adult Day Care) | 490 BOSTON POST RD SUDBURY, MA 01776 (323) 854-0678 |
| 1487171443 | KRISTEN LEE GRAHAM Individual | Behavior Analyst | 490 BOSTON POST RD SUDBURY, MA 01776 (774) 551-6597 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609975069, enumerated in the NPI registry as an "organization" on September 22, 2006
The provider is located at 490 Boston Post Rd Sudbury, Ma 01776 and the phone number is (978) 443-0707
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 22D0890854 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 22, 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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