Active NPI
Laura G Ebbeling, M.D.
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 261915
- Practice address
- 1 Deaconess Rd
W- CC2, Emergency Medicine
Boston, MA 02215-5321 - Phone
- (617) 754-2339
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 261915 | MA | Primary |
Addresses
Primary practice location
1 Deaconess Rd
W- CC2, Emergency Medicine
Boston, MA 02215-5321
Mailing address
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5025
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 421-1401
Other practice location 2
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110102900A | Medicaid | MA | |
| S400336268 | Other | MA | MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616002435 | MA | Practitioner - Emergency Medicine | 3375854409 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
100 Highland St
Milton, MA 02186-3881
Phone (617) 615-4000
100 Walter J Hannon Pkwy
Suite 143
Quincy, MA 02169-1105
Phone (617) 615-4000
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-5398
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Beth Israel Deaconess Hospital - Milton
- Mount Auburn Hospital
- Umass Memorial Medical Center/University Campus
- Beth Israel Deaconess Medical Center
- Cambridge Health Alliance
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1 Deaconess Rd
Boston, MA 02215
Phone (617) 754-2323
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
910 Washington St
Dedham, MA 02026
Phone (781) 431-1333
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
100 Highland St
Milton, MA 02186
Phone (617) 615-4000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
100 Walter J Hannon Pkwy
Quincy, MA 02169
Phone (617) 615-4000
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
1 University Ave
Westwood, MA 02090
Phone (617) 754-1021
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Emergency Medicine, MA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
MA
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
MA
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Emergency Medicine, MA
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
Emergency Medicine, MA
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
Emergency Medicine, MA
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Multi-Specialty Clinic/Center
- Quincy, MA
- NPI 1710862420
-
- Urgent Care Clinic/Center
- Dedham, MA
- NPI 1538774443
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
Hospital
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1083971592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DEACONESS RD",
"address_2": "W- CC2, EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155321",
"telephone_number": "617-754-2339"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1401",
"fax_number": "508-421-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 Mount Auburn St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385502",
"country_code": "US",
"telephone_number": "617-499-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBBELING",
"first_name": "LAURA",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "261915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110102900A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "S400336268",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.