Active NPI
Elizabeth Anne Rottenberg, D.O.
- Obstetrics & Gynecology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 266288
- Practice address
- 305 Bicentennial Hwy
Springfield, MA 01118-1962 - Phone
- (413) 796-6032
- Fax
- (413) 782-4049
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 266288 | MA | Primary |
Addresses
Primary practice location
305 Bicentennial Hwy
Springfield, MA 01118-1962
Mailing address
305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone (413) 796-6032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 N Michigan Ave
Suite 300
Chicago, IL 60602-4495
Phone (312) 726-3917
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266288 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Midwest Center for Women's Health Care, LTD. | Obstetrics & Gynecology | Current | Accepting new patients |
| Riverbend Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| The Mercy Hospital Inc | Past | Accepting new patients |
Locations
2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410
30 N Michigan Ave
Ste 300
Chicago, IL 60602
Phone (312) 558-6481
40 Skokie Blvd
Ste 300
Northbrook, IL 60062
Phone (847) 498-0690
350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108
305 Bicentennial Hwy
Springfield, MA 01118
Phone (413) 733-4101
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212
1777 Dwight St
Springfield, MA 01107
Phone (413) 301-7797
Interoperability endpoints
- elizabeth.rottenberg.1@21117.direct.athenahealth.com
- erottenberg367637@direct.hfhs.org
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.
-
- Obstetrics & Gynecology Physician
- Bannockburn, IL
- NPI 1447200654
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
Obstetrics & Gynecology
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1265023154
-
dba Mercy Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1275891822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BICENTENNIAL HWY",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181962",
"telephone_number": "413-796-6032",
"fax_number": "413-782-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BICENTENNIAL HWY",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011181962",
"telephone_number": "413-796-6032",
"fax_number": "413-782-4049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTENBERG",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "266288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.