Individual provider Active NPI

Lauren Elizabeth Ditrio, M.D.

  • Obstetrics & Gynecology Physician
  • Brookline, MA
National Provider Identifier
1023464674
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
283801 Issued in MA
Practice address
1 Brookline PL Ste 620
Brookline, MA 02445-7296
Phone
(617) 735-8800
NPI assigned
May 12, 2016
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 283801 MA Primary

Addresses

Primary practice location

1 Brookline PL Ste 620
Brookline, MA 02445-7296

Mailing address

1 Brookline PL Ste 620
Brookline, MA 02445-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001597 MA Practitioner - Obstetrics/Gynecology 6709170756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Brookline Village OBGYN LLCGroup PAC ID 4284671173, 6 clinicians

Practice addresses (Care Compare)

1 Brookline PL
Suite 620
Brookline, MA 02445-7296
Phone (617) 735-8800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Brookline Village OBGYN LLC CurrentSince Nov 1, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc Obstetrics & Gynecology PastSince Aug 2, 2020 Accepting new patients

Locations

1 Brookline Pl
Ste 620
Brookline, MA 02445
Phone (617) 735-1800

Interoperability endpoints

  • Direct secure messaging: ditrio.lauren.bwh@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1023464674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 620",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKLINE PL STE 620",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457296",
            "telephone_number": "617-735-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITRIO",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "283801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.