Individual provider Active NPI

Patricia Degroot, MD

  • Obstetrics & Gynecology Physician
  • Boston, MA
National Provider Identifier
1326096371
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
79172 Issued in MA
Practice address
147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806
Phone
(617) 654-7280
Fax
(617) 654-7363
NPI assigned
May 4, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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 79172 MA Primary

Addresses

Primary practice location

147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806

Mailing address

147 Milk St
Provider Enrollment 9TH Floor
Boston, MA 02109-4806
Phone (617) 654-7280

Other identifiers 6

IdentifierTypeStateIssuer
079172OtherMATUFTS HEALTH PLAN
G400OtherMAHARVARD PILGRIM
J30762OtherMABLUE CROSS
0014811OtherMANEIGHBORHOOD HEALTH PLAN
3187926MedicaidMA
1591495-002OtherMACIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdegrootmd5720@direct.atrius.masshiway.net

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
I20050210000664 MA Practitioner - Obstetrics/Gynecology 3274585906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79172MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Aug 17, 1994 Accepting new patients
Atrius Health, Inc. CurrentSince Aug 17, 1994 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jun 15, 2014 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 15, 2014 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Obstetrics & Gynecology CurrentSince Jun 15, 2014 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 15, 2014 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Atrius Health, Inc. Obstetrics & Gynecology Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Boston, MA 02109
Phone (617) 421-2508

147 Milk St
#9
Boston, MA 02109
Phone (617) 629-6180

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

165 Dartmouth St
Boston, MA 02116
Phone (617) 859-5000

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

Interoperability endpoints

  • Direct secure messaging: pdegroot69274@direct.southcoast.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1326096371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MILK ST",
            "address_2": "PROVIDER ENROLLMENT 9TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094806",
            "telephone_number": "617-654-7280",
            "fax_number": "617-654-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MILK ST",
            "address_2": "PROVIDER ENROLLMENT 9TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094806",
            "telephone_number": "617-654-7280",
            "fax_number": "617-654-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROOT",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "79172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "079172",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "G400",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J30762",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0014811",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3187926",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1591495-002",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdegrootmd5720@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "147 Milk St",
            "address_2": "Provider Enrollment 9th Floor",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021094806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.