Raghu R Amaravadi, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Brockton, MA
NPI 1295969772 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1295969772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 238883 (MA)
- Practice address
- 680 Centre St
Brockton, MA 02302-3308 - Phone
- (508) 941-7150
- NPI assigned
- May 12, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Perelman School of Med at the University of Pennsylvania, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lahey Clinic Inc
Beverly Radiology Associates Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000
41 Mall Rd
Burlington, MA 01805-0001
85 Herrick St
Beverly, MA 01915-1790
Phone (978) 927-6385
Hospital & facility affiliations
- Northeast Hospital Corporation
- Lahey Hospital & Medical Center, Burlington
- Beth Israel Deaconess Hospital - Milton
- Anna Jaques Hospital
- Winchester Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20100901000229 | MA | Practitioner - Diagnostic Radiology | 5991829624 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc. | Current |
Accepting new patients | |
| Beverly Radiology Associates, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Mass General Brigham Community Physicians Inc | Current |
Accepting new patients | |
| Lahey Clinic, Inc. | Current |
Accepting new patients | |
| Lahey Clinic, Inc | Current |
Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100
1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556
10 Little Brook Rd
West Wareham, MA 02576
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 238883 | MA | Yes |
Addresses
Primary practice location
680 Centre St
Brockton, MA 02302-3308
Mailing address
1 Loew Cir
Milton, MA 02186-1043
Phone (617) 543-1753
Other providers in Brockton, MA
- Kelly Andrade Alves
- Marcilia Alves
- Natalia Sofia Miranda Alves
- Vanessa Alves
- Jared D Amaral
- Tanisha Amazan
- Ambama Clinic PC
- Sandra A Ambrose
- American Arthritis & Rheumatology Associates Ma PC
- American Diagnsotic Lab., Inc
All providers in Brockton, MA · Diagnostic Radiology 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 Oct 21, 2014. 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.