Individual provider Active NPI

Michael Otremba, MD

  • Otolaryngology Physician
  • Newton, MA
National Provider Identifier
1992141808
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
274249 Issued in MA
Practice address
2000 Washington St Ste 668
Newton, MA 02462
Phone
(617) 630-1699
NPI assigned
May 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 274249 MA Primary

Addresses

Primary practice location

2000 Washington St Ste 668
Newton, MA 02462

Mailing address

2000 Washington St Ste 668
Newton, MA 02462-1628
Phone (617) 630-1699

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
I20180710003503 MA Practitioner - Otolaryngology 7911219159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Yale University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Walnut St
Suite 509
Wellesley, MA 02481-2118
Phone (617) 630-1699

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274249MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Otolaryngology CurrentSince Aug 1, 2018 Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

2000 Washington St
Ste 668
Newton, MA 02462
Phone (617) 630-1699

2014 Washington St
Ste 665
Newton Lower Falls, MA 02462
Phone (617) 243-3724

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

65 Walnut St
Ste 509
Wellesley, MA 02481
Phone (617) 630-1699

65 Walnut St
Ste 590
Wellesley Hills, MA 02481
Phone (617) 630-1699

Interoperability endpoints

  • Direct secure messaging: otremba.michael.meei@direct.partners.masshiway.net

Organizations & group practices 2

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 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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1992141808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 668",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621628",
            "telephone_number": "617-630-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 668",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-630-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTREMBA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "274249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.