Active NPI
M. Richard Pavao, MD
- Pain Medicine (Anesthesiology) Physician
- North Dartmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 239751
- Practice address
- 480 Hawthorn St
North Dartmouth, MA 02747-3729 - Phone
- (508) 973-9170
- Fax
- (508) 973-9175
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 239751 | MA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 239751 | MA | Primary |
Addresses
Primary practice location
480 Hawthorn St
North Dartmouth, MA 02747-3729
Mailing address
200 Mill Rd
Fairhaven, MA 02719-5252
Phone (508) 973-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110082693A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Massachusetts Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
480 Hawthorn St
North Dartmouth, MA 02747-3729
Phone (508) 973-9180
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
480 Hawthorn St
North Dartmouth, MA 02747
Phone (508) 973-9150
480 Hawthorn St
Ste 201
North Dartmouth, MA 02747
Phone (508) 973-9170
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- mpavao78106@direct.southcoast.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
dba Southcoast Urgent Care Center
- Emergency Medicine Physician
- Fairhaven, MA
- NPI 1861830143
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1003942749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195252",
"telephone_number": "508-973-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 HAWTHORN ST",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027473729",
"telephone_number": "508-973-9170",
"fax_number": "508-973-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVAO",
"first_name": "M. RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "239751",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "239751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110082693A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.