The Lowell General Hospital
Organization Active NPI General Acute Care Hospital · Lowell, MA
NPI 1407804669 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1407804669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2040 (MA)
- Legal business name
- THE LOWELL GENERAL HOSPITAL
- Practice address
- 295 Varnum Ave
Lowell, MA 01854-2134 - Phone
- (978) 937-6000
- Fax
- (978) 788-7822
- NPI assigned
- May 4, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CIRCLE HEALTH, INC.
Authorized official
- Name
- Susan Green
- Title
- Evp Chief Financial Officer
- Phone
- (978) 788-7143
Owners & managing parties with NPI records 1
-
Tushar M Patel, M.D.
Member organizations 4
Facilities with the same owner 6
Practitioners 176
-
Allan Hoffman, MD
-
Michael J Abele, MD
-
Muneer Ahmad, MD
-
Saima Alam, MD
-
Brian J Bailey, BS RT(R)(MR), RDMS
-
Robert Lloyd Ball, M.D.
-
Nancy J Bartleson, CNP
-
Frank G. Basile, MD
-
Sanjay Basu, MD
-
Maureen Bencale, NP
-
Wayne J Byrnes, M.D.
-
Amy Podolski Chang, M.D.
-
Margaret Joan Chernaik, ACNP
-
Byungyol Chun, MD
-
Matthew A Cohen, MD
-
Mario Cordova, M.D.
-
Sandra L Creamer, PHD NP
-
Marianne Croteau, PA-C
-
Kristin A D'Orsi, D.O.
-
Kyle Deerwester, MD
Affiliated clinicians 869
-
Scott D Abel, MD
-
Michael J Abele, MD
-
Alexa Aboshar, PA-C
-
Guovana Aboukhater, RN, MSN, NP-C
-
Alexandra Adler, M.D.
-
Tinamarie Adly, NP
-
Nitin Aggarwal, M.D.
-
Muneer Ahmad, MD
-
Heidi Shaifqun Ahmed, M.D.
-
Jokha A Ahmed, MD
-
Zaheer Ahmed, M.D.
-
Angela Ahuja, MD
-
Christopher Michael Aiudi, MD, PHARMD
-
Geetanjali A Akerkar, M.D.
-
Mahmoud Al Masry, M.D
-
Ghazala E Alam, M.D.
-
Saima Alam, MD
-
Peter Michael Alfano, PA-C
-
Loreen A Ali, MD
-
Omar Azam Ali, MD
-
Sonia Almeida, PA
Medicare Care Compare: Hospital
- Listed as
- Lowell General Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Hospital certification: CCN 220063
- Legal name
- THE LOWELL GENERAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 29, 2009
- Beds
- 158
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 18, 1891 in MA
- Enrollment address
- 295 Varnum Ave
Lowell, MA 18542134 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Michael P Dubuque |
Corporate Officer |
Jan 26, 2021 | |
| Raymond Anstiss |
Corporate Officer |
Jan 26, 2021 | |
| Corporate Director | Jul 1, 2012 | ||
| William F Wyman |
Corporate Officer |
May 1, 2018 | |
| Corporate Director | Apr 29, 2014 | ||
| John Carson |
Corporate Director | Apr 25, 2016 | |
| Shamim a Dahod |
Corporate Director | May 1, 2013 | |
| Zachary Redmond |
Corporate Officer | Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| John Andrew Devoe |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Brian L Chapman |
Corporate Director | Jan 25, 2022 | |
| Daniel J. Mansur |
Corporate Director | Jul 1, 2012 | |
| Circle Health, Inc. |
5% Or Greater Direct Ownership Interest | Oct 1, 2014 | 100% |
| Tushar M Patel |
Corporate Director | Apr 25, 2016 | |
| Tufts Medicine, Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2014 | 100% |
| Amy Hoey |
W-2 Managing Employee | Nov 26, 2007 | |
| Naomi M Prendergast |
Corporate Officer |
Jan 26, 2021 | |
| Corporate Director | Apr 25, 2016 | ||
| Bruce Tyler Robinson |
Corporate Director | Apr 25, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071116000320 | MA | Part a Provider - Hospital | 5991602062 | Practice locations: Westford, MA; Tewksbury, MA; North Chelmsford, MA; Lowell, MA; Lawrence, MA; Dracut, MA; Chelmsford, MA; North Billerica, MA |
National Provider Directory
Locations
4 Meeting House Rd
Ste 13
Chelmsford, MA 01824
Phone (978) 323-2829
2 Hospital Dr
#2
Lowell, MA 01852
Phone (978) 937-6460
161 Jackson St
Fl 4
Lowell, MA 01852
Phone (978) 942-2103
203 Turnpike St
Fl 2
North Andover, MA 01845
Phone (978) 482-0500
203 Turnpike St
#2
North Andover, MA 01845
10 Research Pl
Ste 100
North Chelmsford, MA 01863
Phone (978) 275-1350
600 Clark Rd
Ste 2A
Tewksbury, MA 01876
Phone (978) 323-7005
600 Clark Rd
#1
Tewksbury, MA 01876
Phone (978) 453-9321
49 Atwood Rd
Ste 2
Pelham, NH 03076
Phone (978) 323-7051
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2040 | MA | Yes |
| Institutional Pharmacy | 3336I0012X | MA0114847 | MA |
Addresses
Primary practice location
295 Varnum Ave
Lowell, MA 01854-2134
Mailing address
PO Box 1819
Lowell, MA 01853-1819
Phone (978) 937-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026472C | Medicaid | MA | |
| 2242321 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 110026472B | Medicaid | MA |
Other names
- LOWELL GENERAL HOSPITAL
Other providers in Lowell, MA
- Vihangi Thakore
- Sara Thanongsinh de Lima
- Kelly Anne Thayer
- The Braces Place of Lawrence
- The Lowell General Hospital
- The Megan House Foundation, Inc.
- Tammy Deppe Theall
- Therafit 1 at Riveredge, Inc
- Ethan Thevenin
- Nicole Ann Thibault
All providers in Lowell, MA · General Acute Care Hospital in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.