Individual provider Active NPI

Anjana P Trivedi, D.O.

  • Pediatrics Physician
  • Dartmouth, MA
National Provider Identifier
1386796985
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
240169 Issued in MA
Practice address
570R Hawthorn St
Dartmouth, MA 02747-3717
Phone
(508) 999-5300
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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 240169 MA Primary

Addresses

Primary practice location

570R Hawthorn St
Dartmouth, MA 02747-3717

Mailing address

570R Hawthorn St
Dartmouth, MA 02747-3717
Phone (508) 999-5300

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
I20140818000266 MA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779700646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240169MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cove Pediatrics, LLC Pediatrics CurrentSince Jul 24, 2022 Accepting new patients

Locations

570R Hawthorn St
Dartmouth, MA 02747
Phone (508) 999-5300

49 Slocum Rd
North Dartmouth, MA 02747
Phone (508) 999-5300

Interoperability endpoints

  • Direct secure messaging: atrivedi12541@direct.chppoc.masshiway.net

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1386796985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570R HAWTHORN ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473717",
            "telephone_number": "508-999-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570R HAWTHORN ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473717",
            "telephone_number": "508-999-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "ANJANA",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "240169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.