NPIMap

Individual provider Active NPI

Mary Louise Dadura, DO

  • Family Medicine Physician
  • East Bridgewater, MA
National Provider Identifier
1043715931
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
287913 Issued in MA
Practice address
1 Compass Way Ste 200
East Bridgewater, MA 02333-1464
Phone
(508) 350-2300
Fax
(508) 350-2309
NPI assigned
Mar 24, 2018
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Family Medicine Physician 207Q00000X 287913 MA Primary

Addresses

Primary practice location

1 Compass Way Ste 200
East Bridgewater, MA 02333-1464

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110001250 MA Practitioner - Family Practice 0446649693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

464 Hillside Ave
Suite 302
Needham, MA 02494-1228
Phone (781) 449-5170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Compass Medical PC Multi-Specialty CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Medical Care of Boston Management Corporation Multi-Specialty CurrentSince Sep 16, 2022 Accepting new patients
Compass Medical PC Multi-Specialty CurrentSince Apr 4, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty Past Accepting new patients

Locations

1 Compass Way
Ste 200
East Bridgewater, MA 02333
Phone (508) 350-2300

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

464 Hillside Ave
Ste 302
Needham, MA 02494
Phone (781) 444-1129

41 Resnik Rd
Ste 3
Plymouth, MA 02360
Phone (508) 210-5850

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: mdadura253082@direct.bilh.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1043715931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 200",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331464",
            "telephone_number": "508-350-2300",
            "fax_number": "508-350-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADURA",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "287913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.