Gene Francis Dungo Del Rosario, MD
Individual provider Active NPI Internal Medicine Physician · Clinton, MA
NPI 1023074986 · NPPES record last updated Jan 25, 2013
Key facts
- NPI
- 1023074986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 217754 (MA)
- Practice address
- 201 Highland St
Suite 2
Clinton, MA 01510-1037 - Phone
- (978) 368-3870
- Fax
- (398) 368-3877
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mount Auburn Professional Services Inc
Practice addresses (Care Compare)
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5065
Hospital & facility affiliations
- Beth Israel Lahey Health at Home
- Mount Auburn Hospital
- Brigham and Women'S Hospital
- Beth Israel Deaconess Medical Center
- Boston Medical Center-Brighton
- Newton-Wellesley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000935 | MA | Practitioner - Internal Medicine | 0749448306 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217754 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Mt Auburn Professional Services | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Mount Auburn Professional Services Inc | Internal Medicine | Current |
Accepting new patients |
Locations
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
29 Crafts St
Ste 400
Newton, MA 02458
Phone (617) 964-7530
480 Pleasant St
Ste A200
Watertown, MA 02472
Phone (617) 356-8282
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217754 | MA | Yes |
Addresses
Primary practice location
201 Highland St
Suite 2
Clinton, MA 01510-1037
Mailing address
201 Highland St
Suite 2
Clinton, MA 01510-1037
Phone (978) 368-3870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029626 | Medicaid | MA |
Other providers in Clinton, MA
- Counseling & Assesment Clinic
- Roy Albert Courchaine Jr.
- Cassandra E Coveney
- CVS Pharmacy Inc
- Blithen Anne Davis
- Sandra Jean Dellacroce
- Descarte Inpatient Services
- Sadie Jane Despotopulos
- Shana Leah Deveaux
- Rajesh Bhagwandas Dharampuriya
All providers in Clinton, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.