Individual provider Active NPI

Naomi Rosenberg, MD

  • Internal Medicine Physician
  • Westfield, MA
National Provider Identifier
1699756684
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154880 Issued in MA
Practice address
94 N Elm St
Suite 206
Westfield, MA 01085-1647
Phone
(413) 562-1650
Fax
(413) 562-1603
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 154880 MA Primary
Pediatrics Physician 208000000X 154880 MA

Addresses

Primary practice location

94 N Elm St
Suite 206
Westfield, MA 01085-1647

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

367 Plantation St
Worcester, MA 01605-2323
Phone (508) 334-1443

Other identifiers 2

IdentifierTypeStateIssuer
110061271/AMedicaidMA
990015377OtherNHRR MEDICARE PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nrosenberg333597@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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
I20070118000062 MA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8628098563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group PCGroup PAC ID 2365348851, 106 clinicians

Practice addresses (Care Compare)

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154880MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Internal Medicine CurrentSince Dec 14, 2020 Accepting new patients
Valley Medical Group, P.C. Internal Medicine CurrentSince Dec 14, 2020 Accepting new patients
Elliot Physicians Network Internal Medicine Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Interoperability endpoints

  • Direct secure messaging: nrosenberg333597@umassmemorial.direct-ci.com

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1699756684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N ELM ST",
            "address_2": "SUITE 206",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851647",
            "telephone_number": "413-562-1650",
            "fax_number": "413-562-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "367 Plantation St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052323",
            "country_code": "US",
            "telephone_number": "508-334-1443",
            "fax_number": "508-334-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "NAOMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "154880",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "154880",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110061271/A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "990015377",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrosenberg333597@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "367 Plantation St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "367 Plantation St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.