Gabriela B Masko, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

07058 Issued in RI

Practice address

825 N Main St
Providence, RI 02904-5707

Phone

(401) 521-9700

Fax

(401) 751-1686

NPI assigned

May 24, 2005

Last updated

May 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Women & Infants Hospital of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1447233788
  NPD (past)
• Brockton Hospital, Inc.

  dba Signature Healthcare Brockton Hospital

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  NPD (past)
• Brockton Radiation Oncology

  • Radiation Oncology Physician
  • Brockton, MA
  • NPI 1639342595
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1285637256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045707",
            "telephone_number": "401-521-9700",
            "fax_number": "401-751-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045707",
            "telephone_number": "401-521-9700",
            "fax_number": "401-751-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKO",
        "first_name": "GABRIELA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "07058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000160",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300020525",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110042588A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nabih Marzotto, MD
• Zaynab Marzuk
• Amy Marie Maselli, M.D.
• Mira Mashali, MD
• Lydia Maskell, PHARMD
• Andrew D Maslow, MD
• Gary Edward Mason, M.D.
• Jayce Mason
• Katherine E Mason, MD
• William T Mason, M.D.

• Radiation Oncology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Radiation Oncology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.