Individual provider Active NPI

Donald J Druga, MD

  • Obstetrics & Gynecology Physician
  • Winchester, MA
National Provider Identifier
1114928405
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54023 Issued in MA
Practice address
1021 Main St
Suite 102
Winchester, MA 01890-1942
Phone
(781) 721-4701
Fax
(781) 729-5262
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 54023 MA Primary

Addresses

Primary practice location

1021 Main St
Suite 102
Winchester, MA 01890-1942

Mailing address

1021 Main St
Suite 102
Winchester, MA 01890-1942
Phone (781) 721-4701

Other identifiers 2

IdentifierTypeStateIssuer
6192785MedicaidMA
J04379OtherMABCBS

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
I20050331000038 MA Practitioner - Obstetrics/Gynecology 8527015726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester OB GYN Associates, PCGroup PAC ID 2668402272, 2 clinicians

Practice addresses (Care Compare)

1021 Main St
Winchester, MA 01890-1969
Phone (781) 721-4701

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester OB GYN Associates, PC Obstetrics & Gynecology CurrentSince Jun 1, 1989 Accepting new patients
Winchester OB/GYN Associates Current Accepting new patients

Locations

955 Main St
Ste 307
Winchester, MA 01890
Phone (781) 721-4701

1021 Main St
Ste 102
Winchester, MA 01890
Phone (781) 721-4701

955 Main St
Winchester, MA 01890
Phone (781) 729-1900

1021 Main St
Winchester, MA 01890
Phone (781) 721-4701

Organizations & group practices 2

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.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1114928405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901942",
            "telephone_number": "781-721-4701",
            "fax_number": "781-729-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901942",
            "telephone_number": "781-721-4701",
            "fax_number": "781-729-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUGA",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "54023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6192785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J04379",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.