Active NPI
Daniel Trutt, M.D.,C.M.
- Family Medicine Physician
- Brookline, MA
National Provider Identifier
1851566780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 225767
- Practice address
- 369 Harvard St
Apartment #3
Brookline, MA 02446-2910 - Phone
- (617) 879-9808
- NPI assigned
- Apr 22, 2008
- Last updated
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 225767 | MA | Primary |
Addresses
Primary practice location
369 Harvard St
Apartment #3
Brookline, MA 02446-2910
Mailing address
250 Paradise Rd
Swampscott, MA 01907-2948
Phone (781) 596-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225767 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1851566780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PARADISE RD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019072948",
"telephone_number": "781-596-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 HARVARD ST",
"address_2": "APARTMENT #3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462910",
"telephone_number": "617-879-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUTT",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.,C.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "225767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.