Individual provider Active NPI

Dilasha Mahat

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1386093573
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
267168 Issued in MA
Practice address
800 Washington Street
Tufts Medical Center Box 286
Boston, MA 02111
Phone
(617) 636-5078
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 267168 MA Primary

Addresses

Primary practice location

800 Washington Street
Tufts Medical Center Box 286
Boston, MA 02111

Mailing address

29 Broadway
Rockport, MA 01966-1538
Phone (508) 572-1702

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
I20220119002449 MA Practitioner - Pediatric Medicine 6103113907 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Atrius Health, Inc. Pediatrics CurrentSince Feb 1, 2022 Accepting new patients
Atrius Health, Inc. Pediatrics Past Accepting new patients
Tufts Medical Center Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

2 Essex Center Dr
Ste 1
Peabody, MA 01960
Phone (978) 977-4000

2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111

Interoperability endpoints

  • Direct secure messaging: dmahatmd341621@direct.atrius.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1386093573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BROADWAY",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019661538",
            "telephone_number": "508-572-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET",
            "address_2": "TUFTS MEDICAL CENTER BOX 286",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAT",
        "first_name": "DILASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "267168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.