NPIMap

Individual provider Active NPI

Amanda Ortengren, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Plymouth, MA
National Provider Identifier
1407178494
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
254230 Issued in MA
Practice address
275 Sandwich St
Bid Plymouth Hospital
Plymouth, MA 02360-2183
Phone
(508) 746-2000
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 254230 MA Primary
Internal Medicine Physician 207R00000X 58.003499 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 34.010359 OH
Internal Medicine Physician 207R00000X 254230 MA

Addresses

Primary practice location

275 Sandwich St
Bid Plymouth Hospital
Plymouth, MA 02360-2183

Mailing address

275 Sandwich St
Bid Plymouth Hospital
Plymouth, MA 02360-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000240 MA Practitioner - Internal Medicine 7012176886 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Affiliates of Cape Cod IncGroup PAC ID 3577471564, 237 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

495 Station Ave
S Yarmouth, MA 02664-1218
Phone (774) 552-3208

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Centerwell Home Health Home health agency, Sandwich, MA, CCN 227426
  • Visiting Nurse Association of Cape Cod Hospice Hospice, Hyannis, MA, CCN 221554
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • 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
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
254230MAMDInternal Medicine Physician
58.003499OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince May 10, 2018 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 30, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 30, 2015 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 30, 2015 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Internal Medicine CurrentSince Sep 30, 2015 Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Jordan Physician Associates, Inc. Internal Medicine Past Accepting new patients

Locations

330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

74 Route 6A
Sandwich, MA 02563
Phone (508) 210-5918

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

495 Station Ave
South Yarmouth, MA 02664
Phone (508) 957-7400

Interoperability endpoints

  • Direct secure messaging: aortengren466687@direct.bilh.masshiway.net
  • Direct secure messaging: aortengren14224@direct.capecodhealthcare.masshiway.net

Organizations & group practices 10

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 12

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1407178494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "address_2": "BID PLYMOUTH HOSPITAL",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "address_2": "BID PLYMOUTH HOSPITAL",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183",
            "telephone_number": "508-746-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTENGREN",
        "first_name": "AMANDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "254230",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58.003499",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "34.010359",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.