Individual provider Active NPI

Derek Alexander Mumaw, MD

  • Radiation Oncology Physician
  • Dartmouth, MA
National Provider Identifier
1013532449
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
1023968 Issued in MA
Practice address
537 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 689-3100
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD20767 RI
Radiation Oncology Physician 2085R0001X 1023968 MA Primary
Radiation Oncology Physician 2085R0001X 4351046090 MI

Addresses

Primary practice location

537 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

795 Middle St
Fall River, MA 02721-1798
Phone (508) 674-5600

Other practice location 1

593 Eddy St Bsmt Apc
Providence, RI 02903-4923
Phone (401) 444-8311

Other practice location 2

1454 S County Trl Ste 1400
East Greenwich, RI 02818-1750
Phone (844) 222-2881

Other practice location 3

795 Middle St
Fall River, MA 02721-1798
Phone (508) 674-5600

Other practice location 4

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3600

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
I20250710000814 MA Practitioner - Hematology/OncologyPractitioner - Radiation Oncology 5597187468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Radiation Oncology
Education
Hofstra North Shore - Lij School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Aug 1, 2025 Accepting new patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Aug 1, 2025 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jul 1, 2025 Accepting new patients
Saint Anne'S Hospital Past Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Interoperability endpoints

  • Direct secure messaging: dmumaw1248046@epic00.shdirect.org

Organizations & group practices 4

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 1

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1013532449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211798",
            "telephone_number": "508-674-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-689-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St Bsmt Apc",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-8311",
            "fax_number": "401-444-8301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1454 S County Trl Ste 1400",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181750",
            "country_code": "US",
            "telephone_number": "844-222-2881",
            "fax_number": "401-444-8301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Middle St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027211798",
            "country_code": "US",
            "telephone_number": "508-674-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-3600",
            "fax_number": "401-444-3124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMAW",
        "first_name": "DEREK",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD20767",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "1023968",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4351046090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.