Individual provider Active NPI

Antonella Bollettino Fine, M.D.

  • Infectious Disease Physician
  • Attleboro, MA
National Provider Identifier
1679866727
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
267503 Issued in MA
Practice address
211 Park St.
Sturdy Memorial Hospital Department of Medicine
Attleboro, MA 02703-0963
Phone
(508) 236-7909
NPI assigned
May 24, 2011
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP02275 RI
Infectious Disease Physician 207RI0200X LPO2275 RI
Infectious Disease Physician 207RI0200X 267503 MA Primary

Addresses

Primary practice location

211 Park St.
Sturdy Memorial Hospital Department of Medicine
Attleboro, MA 02703-0963

Mailing address

211 Park St., P.O. Box 2963
Sturdy Memorial Hospital Department of Medicine
Attleboro, MA 02703-0963
Phone (508) 236-7909

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000839 MA Practitioner - Infectious Disease 0648498691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP02275RIMDInternal Medicine Physician
267503MAMDInfectious Disease Physician
LPO2275RIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Memorial Hospital Inc CurrentSince Aug 15, 2016 Accepting new patients
Sturdy Health, Inc. Internal Medicine Past Accepting new patients

Locations

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Organizations & group practices 2

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 1

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1679866727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PARK ST., P.O. BOX 2963",
            "address_2": "STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027030963",
            "telephone_number": "508-236-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PARK ST.",
            "address_2": "STURDY MEMORIAL HOSPITAL DEPARTMENT OF MEDICINE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027030963",
            "telephone_number": "508-236-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ANTONELLA",
        "middle_name": "BOLLETTINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP02275",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "LPO2275",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "267503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.