Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina E. D'Ottavio, MD

Individual provider Family Medicine Physician · NPI 1114902038

Gina E. D'Ottavio, MD is a Family Practice in Worcester, Massachusetts. Graduated from University of Massachusetts Medical School in 1992, 34 years ago. Practices with Edward M Kennedy Community Health Center Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
34
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2005
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

19 Tacoma St
Worcester, MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 853-8593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 151056 (MA)

Record details

NPI number1114902038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESNovember 2, 2016
Mailing address19 Tacoma St, Worcester, MA 01605-3516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Group practice Edward M Kennedy Community Health Center Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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