NPIMap

Individual provider Active NPI

Neethi Rebekah Dasu, DO

  • Gastroenterology Physician
  • Burlington, MA
National Provider Identifier
1013444538
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS024121 Issued in PA
Practice address
41 Mall Rd
Burlington, MA 01805-1354
Phone
(781) 744-8000
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1015244 MA
Gastroenterology Physician 207RG0100X OS024121 PA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-1354

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
Phone (781) 744-8085

Other practice location 1

42 E Laurel Rd Ste 3100
Stratford, NJ 08084-1354
Phone (856) 566-2753

Other practice location 2

2350 Freedom Way Ste 202
York, PA 17402-8202
Phone (717) 851-2465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MN, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230511002850 MA Practitioner - GastroenterologyPractitioner - Internal Medicine 9739545070 Reassigns benefits to 2 organizations
I20240813002282 MN Practitioner - GastroenterologyPractitioner - Internal Medicine 9739545070 Reassigns benefits to 2 organizations
I20241028003264 PA Practitioner - Gastroenterology 9739545070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1015 Franklin St
Johnstown, PA 15905-4110
Phone (814) 534-1270

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

2350 Freedom Way
200 Wellspan Digestive Health
York, PA 17402-8200
Phone (717) 812-5120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS024121PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 11, 2024 Accepting new patients
Centracare Clinic Gastroenterology CurrentSince Jul 15, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Gastroenterology CurrentSince Sep 11, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Apr 3, 2023 Accepting new patients
Centracare Clinic CurrentSince Jul 15, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 10, 2025 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
St. Cloud Hospital CurrentSince Jul 15, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 10, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
St. Cloud Hospital CurrentSince Jul 15, 2024 Accepting new patients

Locations

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

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2350 Freedom Way
Ste 200
York, PA 17402
Phone (717) 812-5120

1001 S George St
York, PA 17403
Phone (717) 812-7687

2350 Freedom Way
Ste 202
York, PA 17402
Phone (717) 851-1543

1600 S George St
York, PA 17403
Phone (717) 848-3615

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Interoperability endpoints

  • Direct secure messaging: ndasu51982@direct.conemaugh.org
  • Direct secure messaging: ndasu825806@direct.centracare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1013444538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018051354",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-2753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Freedom Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174028202",
            "country_code": "US",
            "telephone_number": "717-851-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASU",
        "first_name": "NEETHI",
        "middle_name": "REBEKAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "1015244",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS024121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.