NPIMap

Individual provider Active NPI

Selene B. Cudjoe, MD

  • Anesthesiology Physician
  • Westwood, MA
National Provider Identifier
1427287192
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
254702 Issued in MA
Practice address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone
(781) 407-7771
NPI assigned
Jul 2, 2009
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 254702 MA Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 254702 MA

Addresses

Primary practice location

690 Canton St
Suite 325
Westwood, MA 02090-2321

Mailing address

133 Ornac
Concord, MA 01742-4159
Phone (781) 975-1216

Other identifiers 1

IdentifierTypeStateIssuer
110100318AMedicaidMA

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
I20140909000825 MA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7315166287 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Winchester Anesthesia Associates, IncGroup PAC ID 7315977196, 64 clinicians
Lawrence Anesthesia Services LLCGroup PAC ID 4082770136, 127 clinicians
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-2190

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-2000

99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254702MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Winchester Anesthesia Associates 2 Inc Anesthesiology CurrentSince Mar 10, 2024 Accepting new patients
Lawrence Anesthesia Services, LLC Anesthesiology CurrentSince Nov 22, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Capa Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 1, 2022 Accepting new patients
Winchester Anesthesia Associates, Inc CurrentSince Mar 10, 2024 Accepting new patients
Cap Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Interoperability endpoints

  • Direct secure messaging: scudjoe230216@direct.bilh.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1427287192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ORNAC",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "781-975-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDJOE",
        "first_name": "SELENE",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "254702",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MA",
            "license": "254702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100318A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

Verify at the official NPI Registry.