Individual provider Active NPI

Christopher Awtrey, M.D.

  • Gynecologic Oncology Physician
  • Boston, MA
National Provider Identifier
1790792349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
223786 Issued in MA
Practice address
330 Brookline Ave
Beth Israel Hosp. Div. OB/GYN One
Boston, MA 02215-5400
Phone
(617) 667-4040
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 223786 MA Primary

Addresses

Primary practice location

330 Brookline Ave
Beth Israel Hosp. Div. OB/GYN One
Boston, MA 02215-5400

Mailing address

330 Brookline Ave
Beth Israel Hosp. Div. OB/GYN One
Boston, MA 02215-5400
Phone (617) 667-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050629000751 MA Practitioner - Obstetrics/Gynecology 1557307600 Reassigns benefits to 3 organizations
I20231214002338 CO Practitioner - Gynecological Oncology 1557307600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2803 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6540

2807 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6400

2823 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6330

750 Wellington Ave
Grand Junction, CO 81501-6132

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223786MAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC CurrentSince Nov 18, 2024 Accepting new patients
Uptown Community Health Center Inc Current Accepting new patients
Uptown Community Health Center Inc CurrentSince Jan 17, 2025 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Nov 18, 2024 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 1, 2005 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jun 1, 2005 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 29, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Apr 25, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jun 1, 2005 Accepting new patients
Uptown Community Health Center Inc CurrentSince Jan 17, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 29, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Mar 1, 2026 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jun 1, 2005 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2823 Roslyn St
Denver, CO 80238
Phone (303) 403-6330

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1960 N Ogden St
Ste 520
Denver, CO 80218
Phone (303) 318-3220

750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 244-2457

300 Exempla Cir
Ste 470
Lafayette, CO 80026
Phone (303) 665-6016

330 Brookline Ave
#One
Boston, MA 02215
Phone (617) 667-4040

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#330
Boston, MA 02215
Phone (617) 667-4040

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intermountain Health Absarokee Clinic - Family MedicineAbsarokee, MT, CCN 273831 Rural health clinic Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Apr 25, 2023
Apr 25, 2023
Apr 25, 2023
Apr 25, 2023
Intermountain Health Lewistown Clinic - Family MedicineLewistown, MT, CCN 273833 Rural health clinic Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Apr 25, 2023
Apr 25, 2023
Apr 25, 2023
Intermountain Health Boulder Clinic - Family MedicineBoulder, MT, CCN 273832 Rural health clinic Corporate Officer
Corporate Director
W-2 Managing Employee
Apr 25, 2023
Apr 25, 2023
Apr 25, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790792349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "BETH ISRAEL HOSP. DIV. OB/GYN ONE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "BETH ISRAEL HOSP. DIV. OB/GYN ONE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWTREY",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MA",
            "license": "223786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.