Individual provider Active NPI

Douglas E Mesler, M.D., MPH

  • Nephrology Physician
  • Tewsbury, MA
National Provider Identifier
1205827185
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
70684 Issued in MA
Practice address
600 Clark Rd., 2FLR
Tewsbury, MA 01876
Phone
(978) 453-1811
Fax
(978) 452-9111
NPI assigned
Oct 31, 2005
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 70684 MA Primary

Addresses

Primary practice location

600 Clark Rd., 2FLR
Tewsbury, MA 01876

Mailing address

600 Clark Rd., 2FLR
Tewsbury, MA 01876
Phone (978) 453-1811

Other identifiers 1

IdentifierTypeStateIssuer
110220862MedicaidMA

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
I20050603000572 MA Practitioner - Nephrology 2567405285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Asssociates of the Merrimack Valley PCGroup PAC ID 1153365168, 4 clinicians

Practice addresses (Care Compare)

600 Clark Rd
Suite 2
Tewksbury, MA 01876-1699
Phone (978) 432-1811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70684MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Aug 8, 2024 Accepting new patients
Nephrology Asssociates of the Merrimack Valley PC Nephrology CurrentSince Sep 1, 2005 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Aug 8, 2024 Accepting new patients
Evans Medical Foundation, Inc. Nephrology Past Accepting new patients

Locations

33 Bartlett St
Ste 108
Lowell, MA 01852
Phone (978) 453-1811

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

600 Clark Rd
#2
Tewksbury, MA 01876
Phone (978) 432-1811

600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811

Interoperability endpoints

  • Direct secure messaging: douglas.mesler@namv.eclinicaldirectplus.com

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 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1205827185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLARK RD., 2FLR",
            "city": "TEWSBURY",
            "state": "MA",
            "postal_code": "01876",
            "telephone_number": "978-453-1811",
            "fax_number": "978-452-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLARK RD., 2FLR",
            "city": "TEWSBURY",
            "state": "MA",
            "postal_code": "01876",
            "telephone_number": "978-453-1811",
            "fax_number": "978-452-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESLER",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "70684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110220862",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewsbury, MA

Sources for this page

Verify at the official NPI Registry.