Individual provider Active NPI

Carolina Elena Reveron-Arias, MD

  • Diagnostic Radiology Physician
  • Burlington, MA
National Provider Identifier
1467860460
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
288353 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-1552
Phone
(781) 744-8000
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31406 PR
Diagnostic Radiology Physician 2085R0202X 288353 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-1552

Mailing address

Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001

Other practice location 1

800 Washington St
Boston, MA 02111-1552
Phone (616) 636-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210818000037 MA Practitioner - Diagnostic Radiology 4789973777 Reassigns benefits to 5 organizations
I20240930000347 VI Practitioner - Diagnostic Radiology 4789973777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

16 Hayden Ave
Lexington, MA 02421-7929
Phone (781) 372-7100

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31406PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
Lahey Clinic, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
Lahey Clinic, Inc Current Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: creveronarias305625@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1467860460",
    "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": "018051552",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "616-636-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVERON-ARIAS",
        "first_name": "CAROLINA",
        "middle_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "31406",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "288353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.