Individual provider Active NPI

Stanislava Portnoy, M.D.

  • Obstetrics & Gynecology Physician
  • Wellesley Hills, MA
National Provider Identifier
1922098003
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
221753 Issued in MA
Practice address
30 Washington St FL 2
Wellesley Hills, MA 02481-1929
Phone
(781) 263-9110
Fax
(781) 263-9125
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 221753 MA Primary

Addresses

Primary practice location

30 Washington St FL 2
Wellesley Hills, MA 02481-1929

Mailing address

30 Washington St FL 2
Wellesley Hills, MA 02481-1929
Phone (781) 263-9110

Other identifiers 1

IdentifierTypeStateIssuer
2085062MedicaidMA

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
I20040930000533 MA Practitioner - Obstetrics/Gynecology 8022087543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
About Women by Women a Professional CorporationGroup PAC ID 0749170306, 9 clinicians

Practice addresses (Care Compare)

30 Washington St
Wellesley, MA 02481-1929
Phone (781) 263-0033

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jun 1, 2024 Accepting new patients
About Women by Women a Professional Corporation Obstetrics & Gynecology CurrentSince Feb 22, 2016 Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients
Heywood Medical Group Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Washington St
Fl 2
Wellesley Hills, MA 02481
Phone (781) 263-9110

30 Washington St
Wellesley Hills, MA 02481
Phone (781) 263-0033

Interoperability endpoints

  • Direct secure messaging: portnoy.stanislava.awbw@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1922098003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST FL 2",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811929",
            "telephone_number": "781-263-9110",
            "fax_number": "781-263-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST FL 2",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811929",
            "telephone_number": "781-263-9110",
            "fax_number": "781-263-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "STANISLAVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "221753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085062",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.