Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deirdre Rodericks, MD

Individual provider Internal Medicine Physician · NPI 1619330966

Deirdre Rodericks, MD is a Physical Medicine and Rehabilitation in Newton, Massachusetts. Graduated from Boston University School of Medicine in 2016, 10 years ago. Practices with Ny Society for the Relief of Ruptured and Crippled Maintaining, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Massachusetts.

Years since qualifying
10
Trained at
Boston University School of Medicine
Licensed in
IL, MA
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

159 Wells Ave
Newton, MA 02459-3301
Phone: (617) 243-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 290185 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 267300 (MA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 125069738 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619330966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2016
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address300 1st Ave, Charlestown, MA 02129-3109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesSPORTS MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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