RUBEN A. MIOZZO (M.D.) – Psychiatry Physician, NPI 1114991486

RUBEN A. MIOZZO (M.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 209969 (MA). The NPI Number for RUBEN A. MIOZZO (M.D.) is 1114991486

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
RUBEN A. MIOZZO (M.D.)
NPI
1114991486
Phone
(781) 744-8000
Address
41 Mall Rd
Enumeration Date
14 February 2006
Last Update Date
9 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783542551
Graduation Year
2005 (21 years ago)
PAC ID
2769434984
Group Practice PAC ID
3577467224
Professional Enrollment ID
I20050216000462
Address ID
MA019702714SA81XXXAVEX300

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Secure Messaging
rmiozzo311394@UmassMemorial.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,743 PSYCHIATRY in MA

Provider Addresses for RUBEN A. MIOZZO (M.D.)

  • 41 Mall Rd

    Burlington, MA 018052473

    Phone: (781) 744-8000

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

  • 26, Queen Street, Piedmont, Worcester, Worcester County, Massachusetts, 01609-2915, United States

    WORCESTER, MA 016102473

    Phone: (508) 334-2670

    Fax: (508) 334-2781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050216000462IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577467224View full group profile

Reviews

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Frequently asked questions

Is RUBEN A. MIOZZO (M.D.) listed with a National Provider Identifier?
Yes — RUBEN A. MIOZZO (M.D.) has NPI 1114991486 on file in the registry.
Active or inactive — what applies to RUBEN A. MIOZZO (M.D.)?
You should see RUBEN A. MIOZZO (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe RUBEN A. MIOZZO (M.D.)'s focus?
For RUBEN A. MIOZZO (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RUBEN A. MIOZZO (M.D.)?
Travel planning: use Burlington, Massachusetts as the reference point for RUBEN A. MIOZZO (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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