Individual provider Active NPI

Stephen Richard Rotman, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Milford, MA
National Provider Identifier
1346567385
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
NOT APPLICABLE
Practice address
215 West St
Milford, MA 01757-2277
Phone
(508) 478-6363
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NOT APPLICABLE Primary

Addresses

Primary practice location

215 West St
Milford, MA 01757-2277

Mailing address

215 West St
Milford, MA 01757-2277
Phone (508) 478-6363

Other practice location 1

505 E 70th St
Weill Cornell Internal Medicine Associates, Box 148
New York, NY 10021-4872
Phone (212) 746-9663

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
I20170614000524 MA Practitioner - Gastroenterology 1951535822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Needham Gastroenterology Associates PCGroup PAC ID 1153320858, 4 clinicians

Practice addresses (Care Compare)

464 Hillside Ave
Suite 201
Needham, MA 02494-1228
Phone (781) 444-6460

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Gastroenterology Associates Inc. CurrentSince Jul 21, 2017 Accepting new patients
Needham Gastroenterology Associates PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

215 West St
Milford, MA 01757
Phone (508) 478-6226

464 Hillside Ave
Ste 201
Needham Heights, MA 02494
Phone (781) 444-6460

Interoperability endpoints

  • Direct secure messaging: stephen.rotman@milfordgastro.direct.emds.com
  • Direct secure messaging: srotman255333@direct.bilh.masshiway.net

Organizations & group practices 2

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 2

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346567385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572277",
            "telephone_number": "508-478-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E 70th St",
            "address_2": "Weill Cornell Internal Medicine Associates, Box 148",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214872",
            "country_code": "US",
            "telephone_number": "212-746-9663",
            "fax_number": "212-746-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "NOT APPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.