Individual provider Active NPI

Wendie Trubow, MD

  • Obstetrics & Gynecology Physician
  • Newton, MA
National Provider Identifier
1730258237
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
220774 Issued in MA
Practice address
181 Wells Ave
Five Journeys, Suite 202
Newton, MA 02459-3344
Phone
(617) 934-6400
Fax
(617) 934-6401
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 220774 MA Primary

Addresses

Primary practice location

181 Wells Ave
Five Journeys, Suite 202
Newton, MA 02459-3344

Mailing address

181 Wells Ave
Five Journeys, Suite 202
Newton, MA 02459-3344
Phone (617) 934-6400

Other identifiers 5

IdentifierTypeStateIssuer
5945725OtherMACIGNA HEALTH CARE
0033090OtherMANEIGHBORHOOD HEALTH PLAN
469688OtherMATUFTS HEALTH PLAN
AA16034OtherMAHARVARD PILGRIM HEALTH CA
2086522MedicaidMA

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
I20041004000360 MA Practitioner - Obstetrics/GynecologyPractitioner - Addiction Medicine 2466411764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Journeys PCGroup PAC ID 5193020873, 3 clinicians

Practice addresses (Care Compare)

181 Wells Ave
Suite 202
Newton, MA 02459-3344
Phone (617) 934-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Surgeons of Western New England, LLC Current Accepting new patients
Five Journeys, PC CurrentSince Nov 21, 2015 Accepting new patients

Locations

425 Boylston St
Fl 2
Boston, MA 02116
Phone (570) 772-3241

181 Wells Ave
Ste 202
Newton Center, MA 02459
Phone (617) 934-6400

Interoperability endpoints

  • Direct secure messaging: wendie.trubow.1@12273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12273/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1730258237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WELLS AVE",
            "address_2": "FIVE JOURNEYS, SUITE 202",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593344",
            "telephone_number": "617-934-6400",
            "fax_number": "617-934-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WELLS AVE",
            "address_2": "FIVE JOURNEYS, SUITE 202",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593344",
            "telephone_number": "617-934-6400",
            "fax_number": "617-934-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBOW",
        "first_name": "WENDIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "220774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "5945725",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0033090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469688",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA16034",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086522",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.