Individual provider Active NPI

Nicole Savina Rittershaus, MD

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1336598598
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
278501 Issued in MA
Practice address
354 Tremont Street
Boston, MA 02116
Phone
(617) 426-9200
NPI assigned
Jun 8, 2016
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 278501 MA Primary

Addresses

Primary practice location

354 Tremont Street
Boston, MA 02116

Mailing address

354 Tremont Street
Boston, MA 02116
Phone (617) 426-9200

Other names 1

  • Ms. Nicole Savina Noronha Former name

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
I20210317000120 MA Practitioner - Pediatric Medicine 5799071767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278501MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2021 Accepting new patients
Pratt Pediatric Associates Inc Pediatrics PastSince Aug 11, 2019 Accepting new patients
Tufts Medical Center Past Accepting new patients
Porter Pediatrics Comprehensive Pediatric Health Care.PC Pediatrics PastSince Aug 11, 2019 Accepting new patients
Wilmington Pediatrics, Inc. Pediatrics Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Interoperability endpoints

  • Direct secure messaging: nicole.rittershaus@wp.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1336598598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 TREMONT STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-426-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 TREMONT STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-426-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTERSHAUS",
        "first_name": "NICOLE",
        "middle_name": "SAVINA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "278501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NORONHA",
            "middle_name": "SAVINA",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.