Individual provider Active NPI

Barbara S Civiello, MD

  • Medical Oncology Physician
  • Dover, NH
National Provider Identifier
1275575219
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
12585 Issued in NH
Practice address
789 Central Avenue
Dover, NH 03820-2526
Phone
(603) 742-8787
Fax
(603) 740-2446
NPI assigned
Jun 12, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 12585 NH
Medical Oncology Physician 207RX0202X 12585 NH Primary

Addresses

Primary practice location

789 Central Avenue
Dover, NH 03820-2526

Mailing address

789 Central Avenue
Dover, NH 03820-2526
Phone (603) 742-8787

Other identifiers 2

IdentifierTypeStateIssuer
3076223MedicaidNH
1275575219MedicaidME

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
I20240718003681 MA Practitioner - Medical Oncology 0840241477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Emory University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dana-Farber Cancer Institute, Inc.Group PAC ID 9133038904, shared by 5 NPIs, 671 clinicians

Practice addresses (Care Compare)

101 Columbian St
South Weymouth, MA 02190-1601
Phone (781) 340-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. Medical Oncology CurrentSince Sep 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Wentworth Douglass Hospital Medical Oncology Current Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

101 Columbian St
Weymouth, MA 02190
Phone (781) 624-4800

101 Columbian St
Fl 3
Weymouth, MA 02190
Phone (781) 624-4800

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: civiello.barbara.wdh@direct.partners.masshiway.net

Organizations & group practices 7

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 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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1275575219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-8787",
            "fax_number": "603-740-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-8787",
            "fax_number": "603-740-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVIELLO",
        "first_name": "BARBARA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NH",
            "license": "12585",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NH",
            "license": "12585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076223",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275575219",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.