MS. ELISABETH JOAN MOTHS-REBROVIC (MD) – Family Medicine Physician, NPI 1558332270

MS. ELISABETH JOAN MOTHS-REBROVIC (MD) is a healthcare provider. based in Dorchester, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 58102 (MA). The NPI Number for MS. ELISABETH JOAN MOTHS-REBROVIC (MD) is 1558332270

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELISABETH JOAN MOTHS-REBROVIC (MD)
NPI
1558332270
Phone
(617) 287-8000
Address
415 COLUMBIA RD
Enumeration Date
30 January 2006
Last Update Date
13 January 2012

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6172878000
Graduation Year
1984 (42 years ago)
PAC ID
9638350663
Group Practice PAC ID
4284645086
Professional Enrollment ID
I20110224000405
Address ID
MA021252424DO415XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for MS. ELISABETH JOAN MOTHS-REBROVIC (MD)

  • Columbia Road, Mount Bowdoin, Dorchester, Boston, Suffolk County, Massachusetts, 02121, United States

    DORCHESTER, MA 021252424

    Phone: (617) 287-8000

    Fax: (617) 740-8070

    Mailing address matches the actual address.

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: 2011-02-24

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
I20110224000405IFamily PracticeMATBD

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 02125)

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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: 4284645086View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
Family PracticeMA
O P T O M E T R YMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Internal MedicineMA
Family PracticeMA
Internal MedicineMA
O P T O M E T R YMA
Family PracticeMA

Reviews

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Frequently asked questions

How do payers reference MS. ELISABETH JOAN MOTHS-REBROVIC (MD)?
For MS. ELISABETH JOAN MOTHS-REBROVIC (MD), use NPI 1558332270 as the unique 10-digit identifier.
Active or inactive — what applies to MS. ELISABETH JOAN MOTHS-REBROVIC (MD)?
You should see MS. ELISABETH JOAN MOTHS-REBROVIC (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for MS. ELISABETH JOAN MOTHS-REBROVIC (MD)?
At a glance, MS. ELISABETH JOAN MOTHS-REBROVIC (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is MS. ELISABETH JOAN MOTHS-REBROVIC (MD) registered?
Use Dorchester, Massachusetts as the headline location for MS. ELISABETH JOAN MOTHS-REBROVIC (MD) here.
When was this NPI issued?
Enumeration for MS. ELISABETH JOAN MOTHS-REBROVIC (MD) is noted as January 30, 2006 where the registry provides it.

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