Individual provider Active NPI

Renee Rotman, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Chestnut Hill, MA
National Provider Identifier
1730455494
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN175135 Issued in MA
Practice address
27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone
(617) 467-6672
Fax
(617) 566-2224
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN175135 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03262 RI
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN175135 MA Primary

Addresses

Primary practice location

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747

Mailing address

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone (617) 731-3400

Other practice location 1

400 Massasoit Ave Ste 301
East Providence, RI 02914-2012
Phone (508) 631-3949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rotman.Renee.BWH@direct.partners.masshiway.net Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140613000103 MA Practitioner - Nurse Practitioner 0547484537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England OB/GYN Associates,IncGroup PAC ID 8628038734, 15 clinicians

Practice addresses (Care Compare)

27 Boylston St
Suite 320
Chestnut Hill, MA 02467-1747
Phone 6177313400115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN03262RIMDPsychiatric/Mental Health Nurse Practitioner
RN175135MAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth OB-GYN, PC PastSince May 2, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rotman.renee.bwh@direct.partners.masshiway.net

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1730455494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-467-6672",
            "fax_number": "617-566-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Massasoit Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029142012",
            "country_code": "US",
            "telephone_number": "508-631-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN175135",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03262",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN175135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rotman.Renee.BWH@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "New England OB GYN Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIT",
            "address_1": "200 Boylston St Ste 301",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024672008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.