Active NPI
Mindy Nguyen Traver, MD
- Pediatric Sports Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sports Medicine Physician
- License
- 283009
- Practice address
- 330 Brookline Ave
Boston, MA 02215-5400 - Phone
- (617) 667-3940
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | MD17963 | RI | |
| Pediatrics Physician | 208000000X | MD17963 | RI | |
| Pediatric Sports Medicine Physician | 2080S0010X | 283009 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
330 Brookline Ave
Boston, MA 02215-5491
Phone (617) 667-3940
Other practice location 1
6 Butterfield Road
Kingston, RI 02881-1116
Phone (401) 874-2246
Other practice location 2
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (720) 777-3846
Other practice location 3
300 Longwood Ave
Boston, MA 02115-5724
Phone (857) 218-4924
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Colorado School of Medicine, Denver, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
482 Bedford St
Lexington, MA 02420-1402
Phone (781) 983-9088
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17963 | RI | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| State of Rhode Island | Past | Accepting new patients | |
| University Physical Therapy | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
247 Station Dr
Ste NW1
Westwood, MA 02090
Phone (617) 754-1015
Interoperability endpoints
- mnguyen252552@direct.bilh.masshiway.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1972544591
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Student Health Clinic/Center
- Kingston, RI
- NPI 1245455724
-
- Physical Therapist
- Kingston, RI
- NPI 1760549430
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1649701863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155491",
"telephone_number": "617-667-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-3940"
}
],
"practiceLocations": [
{
"address_1": "6 Butterfield Road",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "RI",
"postal_code": "028811116",
"country_code": "US",
"telephone_number": "401-874-2246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "720-777-3846",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "857-218-4924",
"fax_number": "617-730-0683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVER",
"first_name": "MINDY",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "RI",
"license": "MD17963",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD17963",
"primary": false
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "MA",
"license": "283009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.