Active NPI
Drasko Simovic, MD
- Clinical Neurophysiology Physician
- Lawrence, MA
National Provider Identifier
1306844220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 79586
- Practice address
- 25 Marston St
Suite 208
Lawrence, MA 01841-2310 - Phone
- (978) 687-2587
- Fax
- (978) 687-8268
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 79586 | MA | |
| Clinical Neurophysiology Physician | 2084N0600X | 79586 | MA | Primary |
Addresses
Primary practice location
25 Marston St
Suite 208
Lawrence, MA 01841-2310
Mailing address
25 Marston Street
Suite 208
Lawrence, MA 01841
Phone (978) 687-2586
Other practice location 1
51 Main St Ste 6
Hyannis, MA 02601-3109
Phone (508) 775-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3171388 | Medicaid | MA | |
| 0011371 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070808000078 | MA | Practitioner - Neurology | 3779674510 | Practice locations: Lawrence, MA; Hyannis, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 Marston St
Lawrence, MA 01841-2310
25 Marston St
Suite 208
Lawrence, MA 01841-2355
Phone (978) 687-2586
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79586 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theodore Gavrilescu, MD | Neurology | Past | Accepting new patients |
| Emg Laboratory, LLC | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurology Physician
- Lawrence, MA
- NPI 1639236508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1306844220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MARSTON STREET",
"address_2": "SUITE 208",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01841",
"telephone_number": "978-687-2586",
"fax_number": "978-687-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MARSTON ST",
"address_2": "SUITE 208",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412310",
"telephone_number": "978-687-2587",
"fax_number": "978-687-8268"
}
],
"practiceLocations": [
{
"address_1": "51 Main St Ste 6",
"address_purpose": "LOCATION",
"city": "Hyannis",
"state": "MA",
"postal_code": "026013109",
"country_code": "US",
"telephone_number": "508-775-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMOVIC",
"first_name": "DRASKO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "79586",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MA",
"license": "79586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171388",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0011371",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.