Ann Francine Dzialo, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

212681 Issued in MA

Practice address

1515 Commonwealth Ave.
Brighton, MA 02135-3617

Phone

(617) 254-1100

Fax

(617) 783-1803

NPI assigned

Oct 31, 2005

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

Boston University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Tewksbury Hospital Long-term care hospital, Tewksbury, MA, CCN 222003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Commonwealth of Massachusetts

  dba Tewksbury Hospital

  • Long Term Care Hospital
  • Tewksbury, MA
  • NPI 1871680496
  Medicare reassignment Care Compare group NPD
• The Commonwealth of Massachusetts

  dba Soldiers' Home in Holyoke

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD
• Bernard a Westerling III, MD, LLC

  • Family Medicine Physician
  • Fitchburg, MA
  • NPI 1366606246
  NPD (past)
• Coordinated Primary Care, Inc.

  dba HealthAlliance Pediatric Hospitalists Group

  • Hospitalist Physician
  • Leominster, MA
  • NPI 1851623714
  NPD (past)
• Dzialo Physiatry Consulting PLLC

  • Physical Medicine & Rehabilitation Physician
  • Brighton, MA
  • NPI 1992952055
  NPD (past)
• Innovative Physician Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1922096049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Commonwealth of Massachusetts

  dba Tewksbury Hospital

  • Long Term Care Hospital
  • Tewksbury, MA
  • NPI 1871680496

  Long-term care hospital

  Care Compare affiliation
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1467443465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 129",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019230229",
            "telephone_number": "978-762-4888",
            "fax_number": "978-762-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 COMMONWEALTH AVE.",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353617",
            "telephone_number": "617-254-1100",
            "fax_number": "617-783-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIALO",
        "first_name": "ANN",
        "middle_name": "FRANCINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "212681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Murray Durgin, MD
• Edward Michael Dussom, MD
• Ketura Duvil
• Mazen S Duwaji, MD
• Dzialo Physiatry Consulting PLLC
• Ronit Eavri
• Cheryl Ebenstein, LICSW
• Economic Mobility Pathways, Inc.
• Edmund H. Ernst, M.D.
• Thomas Edrich, MD PHD

• Physical Medicine & Rehabilitation Physician in Brighton, MA
• Providers in Brighton, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.

Verify at the official NPI Registry.