Praveen Devineni, M.D
Individual provider Active NPI Internal Medicine Physician · Leominster, MA
NPI 1245586346 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1245586346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 262458 (MA)
- Practice address
- 60 Hospital Rd
Leominster, MA 01453-2205 - Phone
- (978) 466-4169
- Fax
- (978) 466-4164
- NPI assigned
- Jul 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Sound Physicians of Massachusetts Inc
Holyoke Medical Center Inc
Practice addresses (Care Compare)
100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 838-1000
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
- Holyoke Medical Center
- Signature Healthcare Brockton Hospital
- St Vincent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, WI
- 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 |
|---|---|---|---|---|
| I20151203000312 | MA | Practitioner - Internal Medicine | 3971803503 | Reassigns benefits to 13 organizations |
| I20190220000165 | WI | Practitioner - Internal Medicine | 3971803503 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262458 | MA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Prima Care, PC | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Prima Care, PC | Current |
Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current |
Accepting new patients | |
| Central Mass Medical Group | Current |
Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current |
Accepting new patients |
| Southcoast Physicians Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Reedsburg Area Medical Center Inc | Current |
Accepting new patients | |
| Western Mass Physician Associates Inc | Internal Medicine | Current |
Accepting new patients |
| Saint Vincent Physician Services, Inc. | Internal Medicine | Current |
Accepting new patients |
| Western Mass Physician Associates Inc | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Current |
Accepting new patients | |
| Hospitalist Physicians of Massachusetts PC | Internal Medicine | Current |
Accepting new patients |
| Massachusetts Acute Care Specialists PC | Internal Medicine | Current |
Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Western Mass Physician Associates Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current |
Accepting new patients |
| Umass Memorial Health-Harrington Hospital Inc | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820
10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830
15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826
60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
70 East St
Methuen, MA 01844
Phone (978) 682-1906
14 Prospect St
Milford, MA 01757
Phone (508) 422-2343
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
Interoperability endpoints
- pdevineni39119@direct.southcoast.org
- pdevineni94063@tuftsmedicine.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 262458 | MA | |
| Internal Medicine Physician | 207R00000X | 262458 | MA | Yes |
Addresses
Primary practice location
60 Hospital Rd
Leominster, MA 01453-2205
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5678
Other practice location 2
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8515
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515
Other providers in Leominster, MA
- Katelyn M Depatsy
- Maryanne Therese Deprospo
- Dermatology Associates of Worcester County, P.C.
- Sarah Desilets
- Sheila Rita Despres
- Janelle Marie Dextradeur
- Chantal Louise Dibartolomeo
- Laura Dicienzo
- Sebastiano Didato
- Jennifer Dietz
All providers in Leominster, 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 Jun 15, 2021. 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.