Daniel P Degruttola, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

81750 Issued in MA

Practice address

12 Rogers Rd
Haverhill, MA 01835-6925

Phone

(978) 374-7971

Fax

(978) 374-8354

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Anchor Medical Group and Wellness Center PC

  • Addiction Medicine (Internal Medicine) Physician
  • New Bedford, MA
  • NPI 1245615046
  Medicare reassignment
• Universal Mobile Services, Inc.

  • Specialist
  • Haverhill, MA
  • NPI 1770535874
  NPD (past)
• Stonington Behavioral Health Inc

  • Psychiatric Hospital
  • North Stonington, CT
  • NPI 1225097231
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1790737815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELECTRONICS AVE",
            "address_2": "STE 201",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231099",
            "telephone_number": "978-750-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROGERS RD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018356925",
            "telephone_number": "978-374-7971",
            "fax_number": "978-374-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRUTTOLA",
        "first_name": "DANIEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "81750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianpiero De Mari
• Priyanka Deb
• Nancy Debaun, OTR/L
• Henry Debenedetto, THERAPEUTIC MENTOR
• Erin M Deery, MSW
• Wanda Dejesus
• Anytza Delgado, THERAPEUTIC MENTOR
• Maritza Delgado
• Kristin Demers, MSW
• Jessica Lyn Demeule, LICSW

• Physical Medicine & Rehabilitation Physician in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.