Individual provider Active NPI

Elizabeth Anne Rottenberg, D.O.

  • Obstetrics & Gynecology Physician
  • Springfield, MA
National Provider Identifier
1275891822
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
266288 Issued in MA
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

Updated by the provider on Sep 23, 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 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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160810001745 MA Practitioner - Obstetrics/Gynecology 1153642376 Reassigns benefits to 1 organization
I20241003001813 IL Practitioner - Obstetrics/Gynecology 1153642376 Reassigns benefits to 1 organization

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
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

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

LicenseStateTypeSpecialty
266288MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jul 15, 2016 Accepting new patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Riverbend Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jul 15, 2016 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

  • Direct secure messaging: elizabeth.rottenberg.1@21117.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.