DR. PATRICK D MABRAY – Neurology with Special Qualifications in Child Neurology Physician, NPI 1265790810

DR. PATRICK D MABRAY is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold a License No. 270418 (MA). The NPI Number for DR. PATRICK D MABRAY is 1265790810

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICK D MABRAY
NPI
1265790810
Phone
(617) 414-5405
Address
720 HARRISON AVE # DOB503
Enumeration Date
1 May 2012
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
61741448413
Graduation Year
2012 (14 years ago)
PAC ID
0042583544
Group Practice PAC ID
1557263340
Professional Enrollment ID
I20170905003081
Address ID
MA021182526BO725XXSTXX300

Contacts

Secure Messaging
pmabray245723@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,144 NEUROLOGY in MA

Provider Addresses for DR. PATRICK D MABRAY

  • 720 HARRISON AVE # DOB503

    BOSTON, MA 021182371

    Phone: (617) 414-5405

    Type: Mailing

  • 55 Lake Ave N

    Worcester, MA 016550002

    Phone: (508) 793-5647

    Fax: (508) 856-4287

    Type: Location

  • BMC PROVIDER ENROLLMENT OFFICE

    960 MASSACHUSETTS AVE,.2ND FLOOR

    BOSTON, MA 02118

    Phone: (617) 414-5405

    Type: Mailing

  • 725 ALBANY STREET

    SHAPIRO 8

    BOSTON, MA 02118

    Phone: (617) 414-4841

    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: 2017-09-05

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
I20170905003081INeurologyMATBD

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 02118)

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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: 1557263340View full group profile
NameSpecialtyState
-MA
Pediatric Medicine, GastroenterologyMA
Neurology, Pediatric MedicineMA
-MA
Pediatric MedicineMA
-MA
Neurology, Pediatric MedicineMA
Pediatric MedicineMA
Pediatric MedicineMA
-MA

Reviews

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Frequently asked questions

What federal number belongs to DR. PATRICK D MABRAY?
The federal identifier for DR. PATRICK D MABRAY is NPI 1265790810.
Does this profile mean DR. PATRICK D MABRAY is currently active?
Yes — DR. PATRICK D MABRAY appears active in the national provider directory.
What does DR. PATRICK D MABRAY treat or focus on?
Patients typically see DR. PATRICK D MABRAY under the specialty Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. PATRICK D MABRAY's primary listing?
We display Boston, Massachusetts because that is what the record indicates for DR. PATRICK D MABRAY.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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