Individual provider Active NPI

Arul Mahadevan, MD

  • Radiation Oncology Physician
  • Dover, NH
National Provider Identifier
1326148487
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35081547 Issued in OH
Practice address
789 Central Ave
Seacost Cancer Center
Dover, NH 03820-2526
Phone
(603) 742-8787
Fax
(603) 740-2637
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35081547 OH Primary

Addresses

Primary practice location

789 Central Ave
Seacost Cancer Center
Dover, NH 03820-2526

Mailing address

789 Central Ave
Seacost Cancer Center
Dover, NH 03820-2526
Phone (603) 742-8787

Other identifiers 1

IdentifierTypeStateIssuer
2350101MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081126000561 NH Practitioner - Radiation Oncology 1850390618 Reassigns benefits to 2 organizations
I20110413000566 MA Practitioner - Radiation Oncology 1850390618 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates, PAGroup PAC ID 0840276838, 23 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 663-1800

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8457

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

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • York Hospital Hospital, York, ME, CCN 200020
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Aug 31, 2022 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Aug 31, 2022 Accepting new patients
Radiation Oncology Associates, PA Radiation Oncology CurrentSince Sep 1, 2008 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

100 Blossom St
#3
Boston, MA 02114
Phone (617) 724-1836

55 Fruit St
Boston, MA 02114

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

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

1 Essex Dr
Peabody, MA 01960
Phone (978) 538-4000

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

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787

Interoperability endpoints

  • Direct secure messaging: amahadevan31557@tuftsmedicine.direct-ci.com
  • Direct secure messaging: amahadevan21204@direct.bilh.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wentworth Douglass HospitalDover, NH, CCN 300018 Hospital Corporate Officer
Corporate Director
Aug 5, 2024
Aug 31, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1326148487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "SEACOST CANCER CENTER",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-8787",
            "fax_number": "603-740-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "SEACOST CANCER CENTER",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-8787",
            "fax_number": "603-740-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "ARUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35081547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2350101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.