Michele J. Gottlieb, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

74250 Issued in MA

Practice address

24 Newton St
Southborough, MA 01772-1215

Phone

(508) 481-5500

Fax

(508) 481-3706

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Allergy/Immunology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Allergy, Asthma and Immunology, PCGroup PAC ID 2860529203, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.gottlieb.npi1568488161.reliant@direct.optumcare.masshiway.net

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.

• Northeast Allergy Asthma & Immunology, PC

  • Allergy & Immunology Physician
  • Leominster, MA
  • NPI 1972835809
  Medicare reassignment Care Compare group NPD
• Northeast Allergy - Bi LLC

  • Allergy & Immunology Physician
  • Leominster, MA
  • NPI 1588308803
  Medicare reassignment NPD
• Neaai - Wpho LLC

  • Allergy & Immunology Physician
  • Leominster, MA
  • NPI 1740891803
  Medicare reassignment NPD (past)
• Northeast Allergy Asthma & Immunology, PC

  • Allergy & Immunology Physician
  • Sudbury, MA
  • NPI 1861815656
  NPD
• Northeast Allergy - LGH LLC

  • Allergy & Immunology Physician
  • Leominster, MA
  • NPI 1033853353
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1568488161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-481-5500",
            "fax_number": "508-481-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NEWTON ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721215",
            "telephone_number": "508-481-5500",
            "fax_number": "508-481-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "MICHELE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MA",
            "license": "74250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111873",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Donna Gorka
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• Jenna Marie Gray
• Jurate Greeley
• Jenna Danielle Leavitt Green
• Eric Greenberg, MA, BCBA, LABA

• Pediatric Allergy/Immunology Physician in Southborough, MA
• Providers in Southborough, MA by specialty
• Pediatric Allergy/Immunology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.