Active NPI
Kevin Anthony Neville
- Diagnostic Radiology Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1017949
- Practice address
- 41 Mall Rd
Burlington, MA 01805-5921 - Phone
- (781) 744-8000
- NPI assigned
- Apr 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1017949 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-5921
Mailing address
Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001
Other practice location 1
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
Other practice location 2
130 Hartford Rd
Manchester, CT 06040-5921
Phone (860) 533-4670
Other practice location 3
55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of New England, College of Osteo Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 354-4181
1 Park Way
Haverhill, MA 01830-6278
Phone (888) 227-3762
10 Members Way
Dover, NH 03820-5933
Phone (603) 740-2250
102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100
4 Centennial Dr
Peabody, MA 01960-7935
Phone (978) 354-4181
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386
65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 740-2250
67 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 740-2250
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2250
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017949 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
| General Hospital Corp | Current | Accepting new patients |
Locations
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
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Interoperability endpoints
- neville.kevin.mgh@direct.partners.masshiway.net
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1417419102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROVIDER ENROLLMENT 41 MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018055921",
"telephone_number": "781-744-8000"
}
],
"practiceLocations": [
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060404131",
"country_code": "US",
"telephone_number": "860-646-1222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 Hartford Rd",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060405921",
"country_code": "US",
"telephone_number": "860-533-4670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142696",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEVILLE",
"first_name": "KEVIN",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1017949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.