Individual provider

Madeline Mccarthy, M.D.

Pediatrics Physician Pediatric Emergency Medicine (Pediatrics) Physician Medicare enrolled

Madeline Mccarthy, M.D. is a Pediatric Emergency Medicine (Pediatrics) Physician in Worcester, MA, registered under NPI 1386939254. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 55 LAKE AVE N, Worcester, MA 01655. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

55 LAKE AVE N, Worcester, MA 01655 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
257166 MA Pediatrics Physician
257166 MA Pediatric Emergency Medicine (Pediatrics)… primary

This provider holds licence 257166 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)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
0446579684
Enrollment ID
I20160923000614

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Emergency Medicine covers

A pediatrician who has special qualifications to manage emergencies in infants and children. NUCC Health Care Provider Taxonomy, code 2080P0204X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Emergency Medicine

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
208000000X Pediatrics Physician 257166 MA
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine 257166 MA primary

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.

NPI1386939254 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 18, 2011
Last updatedNov 10, 2020
StatusActive
Sole proprietorNo
GenderFemale
CredentialM.D.
Practice address 55 LAKE AVE N
Worcester, MA 01655
(508) 334-1000
Mailing address PO BOX 415348
Boston, MA 02241
Other identifiers 110098669A · Medicaid (MA)
S400327580 · Other (MA)
The last update on file is Nov 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1386939254 passes the NPI check digit test The final digit 4 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 3 8 6 9 3 9 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 7 6 9 3 9 2 1

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

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 1386939254?
NPI 1386939254 is the National Provider Identifier assigned to Madeline Mccarthy, M.D. in Worcester, 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 Emergency Medicine cover?
A pediatrician who has special qualifications to manage emergencies in infants and children.
How do I contact Madeline Mccarthy, M.D.?
The phone number on file with NPPES is (508) 334-1000, last updated Nov 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Madeline Mccarthy, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1386939254 a valid number?
Yes. 1386939254 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.