ZACHARY W BINDER, MD — NPI 1184069197 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in WORCESTER, MA)

CMS-1500 Box 24J / 33a • NPI

1184069197

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2080P0204X (CMS 37)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

55 LAKE AVE N, WORCESTER, MA, 01655-0002

✓ 9-Digit EDI 837 ZIP+4 (01655-0002)

Practice Phone & Referral Fax

(774) 442-2599

Fax: (774) 442-2510

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184069197 (ZACHARY W BINDER, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184069197` (NPI-1 Individual Practitioner)
Provider / Legal Name	ZACHARY W BINDER, MD
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `2080P0204X` (Pediatrics, Pediatric Emergency Medicine)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	55 LAKE AVE N, WORCESTER, MA, 01655-0002
Practice Telephone / Fax	Tel: (774) 442-2599 \| Fax: (774) 442-2510
Administrative Mailing Address	PO BOX 415348, BOSTON, MA, 02241-5348
Enumeration & Last Sync	Enumerated: 2013-05-03 \| CMS Record Updated: 2026-09-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

55 LAKE AVE N, WORCESTER, MA, 01655-0002

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Plain-English Taxonomy & CMS Crosswalk (2080P0204X)

What Does Taxonomy Code 2080P0204X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0204X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ZACHARY W BINDER, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2080P0204X` — Pediatrics, Pediatric Emergency Medicine Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: MA \| License: `268202` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ZACHARY W BINDER, MD (NPI #1184069197)