MISS IRENE GHOBRIAL (PA-C) – Physician Assistant, NPI 1639261290

MISS IRENE GHOBRIAL (PA-C) is a healthcare provider. based in Waltham, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2222 (MA). The NPI Number for MISS IRENE GHOBRIAL (PA-C) is 1639261290

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MISS IRENE GHOBRIAL (PA-C)
NPI
1639261290
Phone
(781) 890-2133
Address
840 WINTER ST
Enumeration Date
29 September 2006
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172641100
Graduation Year
2006 (20 years ago)
PAC ID
8123125358
Group Practice PAC ID
5991149809
Professional Enrollment ID
I20070523000150
Address ID
MA020266146DE40XXXDRXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MISS IRENE GHOBRIAL (PA-C)

  • 840, Winter Street, Waltham, Middlesex County, Massachusetts, 02451, United States

    ATTN: BOSTON SPORTS & SHOULDER CENTER

    WALTHAM, MA 024511433

    Phone: (781) 890-2133

    Fax: (781) 890-2177

    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)

CMS reports 14 Open Payments records for all available years, with a total value of $1,198.

Total Amount is formed as General ($1,198) + Research ($0) + Ownership ($0) = $1,198.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($428).

Total Amount

$1,198

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-05-23

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
I20070523000150IPhysician AssistantMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,060396$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance525393$0
99213Established patient office or other outpatient visit, 20-29 minutes415290$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
29823Removal of extensive shoulder joint tissue using an endoscope4949$0
View full utilization report →

Insurance plans in this area (ZIP 02451)

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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: 5991149809View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Physician AssistantMA
Physical Therapist In Private PracticeMA
Orthopedic SurgeryMA
Nurse PractitionerMA
Orthopedic SurgeryNH
Physician AssistantNH
Physical Medicine And RehabilitationNH
Physician AssistantNH
Physician AssistantMA

Reviews

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Frequently asked questions

Where can patients find MISS IRENE GHOBRIAL (PA-C)'s NPI?
You can confirm MISS IRENE GHOBRIAL (PA-C) with NPI 1639261290; it appears in the national provider directory.
Is MISS IRENE GHOBRIAL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MISS IRENE GHOBRIAL (PA-C) treat or focus on?
Patients typically see MISS IRENE GHOBRIAL (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MISS IRENE GHOBRIAL (PA-C)?
We surface Waltham, Massachusetts for MISS IRENE GHOBRIAL (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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