Individual provider Active NPI

Elena Ruxandra Cotulbea, M.D.

  • Family Medicine Physician
  • Winthrop, MA
National Provider Identifier
1376740985
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
266665 Issued in MA
Practice address
17 Main St
Winthrop, MA 02152-2715
Phone
(617) 569-5800
Fax
(617) 568-4421
NPI assigned
Jun 27, 2007
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 266665 MA Primary

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

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
I20160907001973 MA Practitioner - Family Practice 1557496452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

63 Main St
Brockton, MA 02301-4042
Phone (508) 559-6699

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Neighborhood Health Center Current Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Aug 15, 2016 Accepting new patients
Neighborhealth Corporation CurrentSince Jan 31, 2022 Accepting new patients
Brockton Neighborhood Health Center, Inc. CurrentSince May 28, 2024 Accepting new patients
Brockton Neighborhood Health Center CurrentSince May 28, 2024 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Jan 31, 2022 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Aug 15, 2016 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

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

Interoperability endpoints

  • Direct secure messaging: ecotulbea47561@direct.ctc.masshiway.net
  • FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1376740985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOVE ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281920",
            "telephone_number": "617-569-5800",
            "fax_number": "617-568-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522715",
            "telephone_number": "617-569-5800",
            "fax_number": "617-568-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTULBEA",
        "first_name": "ELENA RUXANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "266665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

Verify at the official NPI Registry.