Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic D Pennachio, MD

Individual provider Internal Medicine Physician · NPI 1194830158

Dominic D Pennachio, MD is an Internal Medicine in Chestnut Hill, Massachusetts. Graduated from Yale University School of Medicine in 1984, 42 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
42
Trained at
Yale University School of Medicine
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 Boylston St Ste 204
Chestnut Hill, MA 02467-1715
Phone: (617) 754-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56237 (MA)

Record details

NPI number1194830158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJune 4, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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