Individual provider Active NPI

Madeleine Carey Sampson, M.D.

  • Radiation Oncology Physician
  • Mansfield, MA
National Provider Identifier
1215044995
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
231052 Issued in MA
Practice address
89 Forbes Blvd
Mansfield, MA 02048-1125
Phone
(508) 261-2000
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 231052 MA Primary

Addresses

Primary practice location

89 Forbes Blvd
Mansfield, MA 02048-1125

Mailing address

89 Forbes Blvd
Mansfield, MA 02048-1125
Phone (508) 261-2000

Other practice location 1

206 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-3055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msampson35425@direct.southcoast.org

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
I20070810000382 MA Practitioner - Radiation Oncology 5698866242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

206 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-3000

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Mar 3, 2016 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Mar 3, 2016 Accepting new patients
Radiation Therapy of Winchester, LLC Past Accepting new patients

Locations

206 Mill Rd
Fairhaven, MA 02719
Phone (508) 973-3000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

506 Prospect St
Fall River, MA 02720
Phone (508) 973-7888

Interoperability endpoints

  • Direct secure messaging: msampson35425@direct.southcoast.org

Organizations & group practices 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1215044995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 FORBES BLVD",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481125",
            "telephone_number": "508-261-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 FORBES BLVD",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481125",
            "telephone_number": "508-261-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195208",
            "country_code": "US",
            "telephone_number": "508-973-3055",
            "fax_number": "508-973-3057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "MADELEINE",
        "middle_name": "CAREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "231052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msampson35425@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "206 Mill Rd",
            "city": "Fairhaven",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027195208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.