Active NPI
Donald William Putnoi, M.D.
- Ophthalmology Physician
- Waltham, MA
National Provider Identifier
1689673980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 32609
- Practice address
- 20 Hope Ave
Suite 212
Waltham, MA 02453-2721 - Phone
- (781) 891-1447
- Fax
- (781) 891-7936
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 32609 | MA | Primary |
Addresses
Primary practice location
20 Hope Ave
Suite 212
Waltham, MA 02453-2721
Mailing address
20 Hope Ave
Suite 212
Waltham, MA 02453-2721
Phone (781) 894-2020
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B33295 | Other | MA | BLUE CROSS BLUE SHIELD |
| 15243 | Other | MA | HARVARD PILGRIM HEALTH |
| 97747 | Other | MA | US HEALTHCARE |
| 25543 | Other | MA | FALLON HEALTH CARE |
| 0006372 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 820000272 | Other | MA | RAILROAD MEDICARE |
| 032609 | Other | MA | TUFTS HEALTH PLAN |
| 2024195 | Medicaid | MA | |
| B20255601 | Other | MA | CIGNA HEALTHCARE |
| 08-00281 | Other | MA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1689673980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOPE AVE",
"address_2": "SUITE 212",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532721",
"telephone_number": "781-894-2020",
"fax_number": "781-891-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOPE AVE",
"address_2": "SUITE 212",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532721",
"telephone_number": "781-891-1447",
"fax_number": "781-891-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNOI",
"first_name": "DONALD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "32609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B33295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "15243",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "97747",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH CARE",
"identifier": "25543",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0006372",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "820000272",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "032609",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2024195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "B20255601",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "08-00281",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.