Individual provider

Robert Fusunyan, MD

Pediatric Gastroenterology Physician Pediatrics Physician

Robert Fusunyan, MD is a Pediatric Gastroenterology Physician in Waltham, MA, registered under NPI 1104817717. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 40 2ND AVENUE SUITE 340, Waltham, MA 02451. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

40 2ND AVENUE SUITE 340, Waltham, MA 02451 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
78425 MA Pediatric Gastroenterology Physician primary
78425 MA Pediatrics Physician

This provider holds licence 78425 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Pediatric Gastroenterology covers

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. NUCC Health Care Provider Taxonomy, code 2080P0206X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Gastroenterology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0206X Pediatric Gastroenterology Physician Pediatric Gastroenterology 78425 MA primary
208000000X Pediatrics Physician 78425 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104817717 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 2, 2005
Last updatedSep 3, 2009
StatusActive
Sole proprietorYes
CredentialMD
Practice address 40 2ND AVENUE
SUITE 340
Waltham, MA 02451
(781) 466-8967
Fax (781) 466-8987
Mailing address 44 NORTH STREET
Lexington, MA 02420
Other identifiers 750032 · Other (MA)
3159337 · Medicaid (MA)
J17154 · Other (MA)
This record was last updated on Sep 3, 2009, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104817717 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 1 7 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 1 5 7 2

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104817717?
NPI 1104817717 is the National Provider Identifier assigned to Robert Fusunyan, MD in Waltham, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Gastroenterology cover?
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see…
How do I contact Robert Fusunyan, MD?
The phone number on file with NPPES is (781) 466-8967, last updated Sep 3, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104817717 a valid number?
Yes. 1104817717 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.