Individual provider Active NPI

Caitlin Stauder

  • Family Medicine Physician
  • Norwood, MA
National Provider Identifier
1346628690
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
279606 Issued in MA
Practice address
3 Edgewater Dr Ste 102
Norwood, MA 02062-4644
Phone
(508) 728-7668
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 279606 MA Primary

Addresses

Primary practice location

3 Edgewater Dr Ste 102
Norwood, MA 02062-4644

Mailing address

3 Edgewater Dr Ste 102
Norwood, MA 02062-4644
Phone (508) 728-7668

Other practice location 1

499 Paris Hill Road
Paris, ME 04271-0126
Phone (207) 615-2372

Other practice location 2

4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000

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
I20191001003482 MA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1759611932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Root Family Medicine PCGroup PAC ID 2668782137, 5 clinicians

Practice addresses (Care Compare)

3 Edgewater Dr
Norwood, MA 02062-4642
Phone (508) 928-7668

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Root Family Medicine PC Family Medicine CurrentSince Oct 3, 2019 Accepting new patients

Locations

100 S Shore Dr
East Haven, CT 06512

3 Edgewater Dr
Norwood, MA 02062
Phone (508) 928-7668

3 Edgewater Dr
Ste 102
Norwood, MA 02062
Phone (508) 928-7668

Interoperability endpoints

  • Direct secure messaging: stauder.caitlin.rootfm@direct.partners.masshiway.net

Organizations & group practices 1

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 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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1346628690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EDGEWATER DR STE 102",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624644",
            "telephone_number": "508-728-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EDGEWATER DR STE 102",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624644",
            "telephone_number": "508-728-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Paris Hill Road",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "ME",
            "postal_code": "042710126",
            "country_code": "US",
            "telephone_number": "207-615-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "279606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.