Individual provider Active NPI

Michelle Ann Rotter, M.D.

  • Obstetrics & Gynecology Physician
  • North Andover, MA
National Provider Identifier
1972761633
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
241863 Issued in MA
Practice address
100 Andover Bypass
Suite #300
North Andover, MA 01845-5820
Phone
(978) 688-9979
Fax
(978) 688-7727
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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 241863 MA Primary

Addresses

Primary practice location

100 Andover Bypass
Suite #300
North Andover, MA 01845-5820

Mailing address

P.O. Box 760
Suite #335
Winchester, MA 01890-4260
Phone (978) 688-9979

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
I20091007000159 MA Practitioner - Obstetrics/Gynecology 0941346837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Andover Bypass
Suite 300
North Andover, MA 01845-5820
Phone (978) 688-9979

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241863MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Andover Women'S Care PLLC Obstetrics & Gynecology CurrentSince May 29, 2019 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Sep 1, 2009 Accepting new patients
Winchester Physician Associates Past Accepting new patients
Winchester Physician Associates Obstetrics & Gynecology Past Accepting new patients
Winchester Hospital Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

100 Andover Bypass St
Ste 300
North Andover, MA 01845
Phone (978) 688-9979

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19583/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.rotter.1@19583.direct.athenahealth.com

Organizations & group practices 5

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1972761633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 760",
            "address_2": "SUITE #335",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904260",
            "telephone_number": "978-688-9979",
            "fax_number": "978-688-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ANDOVER BYPASS",
            "address_2": "SUITE #300",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455820",
            "telephone_number": "978-688-9979",
            "fax_number": "978-688-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "241863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.