Elena Ruxandra Cotulbea, M.D.
Individual provider Active NPI Family Medicine Physician · Winthrop, MA
NPI 1376740985 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1376740985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 266665 (MA)
- Practice address
- 17 Main St
Winthrop, MA 02152-2715 - Phone
- (617) 569-5800
- Fax
- (617) 568-4421
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brockton Neighborhood Health Center
Practice addresses (Care Compare)
63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699
Hospital & facility affiliations
- Good Samaritan Medical Center
- Signature Healthcare Brockton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907001973 | MA | Practitioner - Family Practice | 1557496452 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266665 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medical Associates-Ebnhc | Current |
Accepting new patients | |
| Brockton Neighborhood Health Center, Inc. | Current |
Accepting new patients | |
| Brockton Neighborhood Health Center | Current |
Accepting new patients | |
| Edward M. Kennedy Community Health Center, Inc | Current |
Accepting new patients | |
| Brockton Neighborhood Health Center | Current | Accepting new patients | |
| Edward M. Kennedy Community Health Center, Inc | Current |
Accepting new patients | |
| Neighborhealth Corporation | Current |
Accepting new patients |
Locations
63 Main St
Brockton, MA 02301
Phone (508) 559-6696
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700
17 Main St
Winthrop, MA 02152
Phone (617) 568-6100
19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122
650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318
Interoperability endpoints
- https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
- ecotulbea47561@direct.ctc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 266665 | MA | Yes |
Addresses
Primary practice location
17 Main St
Winthrop, MA 02152-2715
Mailing address
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800
Other providers in Winthrop, MA
- Commonwealth Clinical Services, Inc.
- Commonwealth Primary Care Inc.
- Paul Connor
- Hannah Elizabeth Connors
- Brendan Patrick Corcoran
- John M Cross
- Traci Lynn Cucinotta
- Cummings Physical Therapy, Inc
- Cummings Physical Therapy,Inc
- CVS Pharmacy Inc
All providers in Winthrop, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.