Dr. Jessica Andrea Barreto Guacaneme, M.D.

Pediatrics, Pediatric Critical Care Medicine in Boston, MA. Individual provider (NPI-1).

NPI number1609259159

StatusActive

Last updated in NPPESMar 30, 2023

Details

NPI: 1609259159
Entity type: Individual (NPI-1)
Name: Dr. Jessica Andrea Barreto Guacaneme
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Jul 1, 2015
Certification date: Mar 30, 2023
Last updated: Mar 30, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CRITICAL CARE (INTENSIVISTS)
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0203X	Pediatrics, Pediatric Critical Care Medicine	292916	MA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	TRN21583	FL

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Phone 617-355-6000

Mailing address

300 Longwood Ave
Boston, MA 02115-5724

Phone 617-355-6000

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Other Pediatric Critical Care Medicine Physician providers in Boston, MA

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