NPIMap

Individual provider Active NPI

Daniel Gatto Hechavarria, MD

  • Diagnostic Radiology Physician
  • Augusta, ME
National Provider Identifier
1467864876
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD23556 Issued in ME
Practice address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone
(207) 626-1438
Fax
(207) 777-1439
NPI assigned
May 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 277620 MA
Diagnostic Radiology Physician 2085R0202X MD23556 ME Primary

Addresses

Primary practice location

35 Medical Center Pkwy
Augusta, ME 04330-8160

Mailing address

PO Box 986520 Department 370
Boston, MA 02298-6520
Phone (207) 784-2554

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (617) 823-7224

Other practice location 2

55 Fruit St Ste 210
Boston, MA 02114-2621
Phone (617) 823-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190520002465 MA Practitioner - Diagnostic Radiology 2466678156 Reassigns benefits to 2 organizations
I20200804003484 ME Practitioner - Interventional Radiology 2466678156 Reassigns benefits to 4 organizations
I20260526001920 NH Practitioner - Interventional Radiology 2466678156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Tufts University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Radiological Consortium LLCGroup PAC ID 4789175928, 17 clinicians
Maine Mobile MRI AssocGroup PAC ID 0042274086, 9 clinicians
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Radiology Alliance of Maine LLCGroup PAC ID 4486888575, 9 clinicians

Practice addresses (Care Compare)

Portland, ME 04103
Phone (918) 392-1702

Falmouth, ME 04105
Phone (603) 332-5211

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 778-6031

118 Northport Ave
Belfast, ME 04915-6009
Phone (207) 338-2500

149 N St
Waterville, ME 04901-4974

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

35 Medical Ctr Pkwy
Augusta, ME 04330-8160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277620MAMDRegistered Nurse
MD23556MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Mobile MRI Assoc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Maine Mobile MRI Assoc Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radiology Alliance of Maine, LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

55 Fruit St
Ste 210
Boston, MA 02114
Phone (617) 643-3726

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

Interoperability endpoints

  • Direct secure messaging: dhechavarria13237@direct.mmc.mainehealth.org

Organizations & group practices 7

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1467864876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986520 DEPARTMENT 370",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986520",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-626-1438",
            "fax_number": "207-777-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "617-823-7224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-823-7224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECHAVARRIA",
        "first_name": "DANIEL",
        "middle_name": "GATTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "277620",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD23556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.