CODMAN SQUARE HEALTH CENTER INC – Community Health Clinic/Center, NPI 1396808309
Community Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CODMAN SQUARE HEALTH CENTER INC
9 Peacevale Rd
Dorchester, MA 021244417
Phone: (617) 822-8744
Type: Location
42 Highland Avenue
Randolph, MA 023680000
Phone: (617) 825-9660
Type: Location
Codman Square Health Center, 637, Washington Street, Dorchester Center, Dorchester, Boston, Suffolk County, Massachusetts, 02124, United States
DORCHESTER, MA 021243510
Phone: (617) 825-9660
Fax: (617) 288-7898
Type: Mailing
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: 2004-04-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1015 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040420000859 | O | Clinic/Group Practice | MA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 02124)
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