Active NPI
Brooke E Di Anni, D.O.
- Pediatrics Physician
- Auburn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 227008
- Practice address
- 385 Southbridge St
Auburn, MA 01501-2498 - Phone
- (508) 832-5917
- Fax
- (508) 832-5751
- NPI assigned
- May 1, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 227008 | MA | Primary |
Addresses
Primary practice location
385 Southbridge St
Auburn, MA 01501-2498
Mailing address
5 Neponset St FL Street2
Worcester, MA 01606-2714
Phone (508) 832-5917
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227008 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients |
Locations
4 Brotherton Way
Auburn, MA 01501
Phone (508) 425-5446
385 Southbridge St
Auburn, MA 01501
Phone (508) 721-1101
630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529
5 Neponset St
#2
Worcester, MA 01606
630 Plantation St
Worcester, MA 01605
Phone (508) 368-5529
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Interoperability endpoints
- brooke.dianni.npi1174580302.reliant@direct.optumcare.masshiway.net
Organizations & group practices 4
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.
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1174580302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NEPONSET ST FL STREET2",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016062714",
"telephone_number": "508-832-5917",
"fax_number": "508-832-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 SOUTHBRIDGE ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "015012498",
"telephone_number": "508-832-5917",
"fax_number": "508-832-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI ANNI",
"first_name": "BROOKE",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "227008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.