Individual provider Active NPI

Natalya V. Vorontsova, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1699729798
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35082577 Issued in OH
Practice address
1200 Centre Street
Boston, MA 02131
Phone
(617) 363-8616
Fax
(617) 363-8929
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35082577 OH Primary

Addresses

Primary practice location

1200 Centre Street
Boston, MA 02131

Mailing address

1200 Centre Street
Boston, MA 02131
Phone (617) 363-8616

Other names 1

  • Natalya Vladmirovna Oldendick Former name

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
I20081203000236 MA Practitioner - Internal Medicine 7416962618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082577OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince May 7, 2021 Accepting new patients
Independent Inpatient Physicians, Inc. Internal Medicine PastSince Jul 1, 2000 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: vorontsova.natalya.srb@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1699729798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-363-8616",
            "fax_number": "617-363-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-363-8616",
            "fax_number": "617-363-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORONTSOVA",
        "first_name": "NATALYA",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35082577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALYA",
            "last_name": "OLDENDICK",
            "middle_name": "VLADMIROVNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.