NPIMap

Individual provider Active NPI

Debra J. Junnila, MD

  • Obstetrics & Gynecology Physician
  • Springfield, MA
National Provider Identifier
1952498503
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
224931 Issued in MA
Practice address
2 Medical Center Dr
Suite 206
Springfield, MA 01107-1270
Phone
(413) 794-8484
Fax
(413) 794-8477
NPI assigned
Oct 6, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 224931 MA Primary

Addresses

Primary practice location

2 Medical Center Dr
Suite 206
Springfield, MA 01107-1270

Mailing address

354 Birnie Avenue
Baystate OB GYN
Springfield, MA 01107-1108
Phone (413) 794-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000181 MA Practitioner - Obstetrics/Gynecology 4082645775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate OB/GYN Group IncGroup PAC ID 1153392659, 20 clinicians

Practice addresses (Care Compare)

3455 Main St
Suite C
Springfield, MA 01107-1187
Phone (413) 794-8484

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pelvic Physical Therapy, LLC PastSince Aug 15, 2005 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients
Baystate Medical Practices, Inc Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: debra.junnila.1@12089.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1952498503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVENUE",
            "address_2": "BAYSTATE OB GYN",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071108",
            "telephone_number": "413-794-4744",
            "fax_number": "413-787-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR",
            "address_2": "SUITE 206",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071270",
            "telephone_number": "413-794-8484",
            "fax_number": "413-794-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNNILA",
        "first_name": "DEBRA",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "224931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.