Individual provider Active NPI

Caroline Bevona, M.D.

  • Dermatology Physician
  • Chelmsford, MA
National Provider Identifier
1245225044
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
219303 Issued in MA
Practice address
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone
(978) 250-6010
Fax
(978) 244-6610
NPI assigned
Sep 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 219303 MA Primary

Addresses

Primary practice location

228 Billerica Rd
Chelmsford, MA 01824-3604

Mailing address

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6010

Other practice location 1

41 Mall Rd
Burlington, MA 01805-3604
Phone (781) 744-8000

Other identifiers 1

IdentifierTypeStateIssuer
2138247MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbevonamd24923@direct.atrius.masshiway.net

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
I20070803000107 MA Practitioner - Dermatology 8022109115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

16 Hayden Ave
Lexington, MA 02421-7929
Phone (781) 372-7100

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions618
Removal or shaving of skin growth1-10
Skin biopsy139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Mar 1, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Feb 7, 2010 Accepting new patients
Lahey Clinic, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Atrius Health, Inc. Dermatology CurrentSince Feb 7, 2010 Accepting new patients
Atrius Health, Inc. Dermatology Current Accepting new patients
Lahey Clinic, Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

67 S Bedford St
Ste 101E
Burlington, MA 01803

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

230 Worcester St
Wellesley Hills, MA 02481
Phone (781) 431-5200

Interoperability endpoints

  • Direct secure messaging: cbevonamd24923@direct.atrius.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1245225044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243604",
            "telephone_number": "978-250-6010",
            "fax_number": "978-244-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243604",
            "telephone_number": "978-250-6010",
            "fax_number": "978-244-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018053604",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVONA",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "219303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138247",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbevonamd24923@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "228 Billerica Rd",
            "city": "Chelmsford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018243604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.