Theodore Treibick, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

46320 Issued in MA

Practice address

101 Cambridge St Ste 100
Burlington, MA 01803-3769

Phone

(781) 272-9500

Fax

(855) 870-4649

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Addiction MedicineAlso: General Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Healthcare Alliance PLLCGroup PAC ID 0648528513, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Community Healthcare Alliance, PLLC

  dba Burlington Pain Center

  • General Practice Physician
  • Woburn, MA
  • NPI 1376040899

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Narendra Shah MD PC Inc.

  • Anesthesiology Physician
  • Burlington, MA
  • NPI 1831252824

  Multi-Specialty

  NPD
• Anesthesia Associates of Nashoba PC

  • Anesthesiology Physician
  • Ayer, MA
  • NPI 1710214077

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1609920776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ELK RUN RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513542",
            "telephone_number": "978-505-9897",
            "fax_number": "855-870-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033769",
            "telephone_number": "781-272-9500",
            "fax_number": "855-870-4649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Merrimack St Ste 301E",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018521708",
            "country_code": "US",
            "telephone_number": "617-206-4624",
            "fax_number": "855-870-4649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Franklin St Ste 1702",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021103144",
            "country_code": "US",
            "telephone_number": "617-206-4624",
            "fax_number": "855-870-4649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREIBICK",
        "first_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "46320",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "46320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110002031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLSENSE HEALTH PLAN160",
            "identifier": "1609920776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "703314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "70010000B12009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen D Tramposch, MD
• Nathanael Tran
• Nhi Uyen Tran, NP
• Tai M Tran, M.D.
• Mark A. Traveis, O.D.
• Christopher Joseph Tremblay, PT
• Mary Ann Tremble, NP
• Bruce S Tronic, MD
• Shelby Elizabeth Trull
• Kimberly Thien Truong, OD

• General Practice Physician in Burlington, MA
• Providers in Burlington, MA by specialty
• General Practice Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.