NPIMap

Individual provider Active NPI

Ameya Hodarkar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Burlington, MA
National Provider Identifier
1467893826
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
261279 Issued in MA
Practice address
41 Mall Road
Burlington, MA 01805-4474
Phone
(781) 744-2088
Fax
(401) 729-3343
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP02884 RI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 261279 MA Primary

Addresses

Primary practice location

41 Mall Road
Burlington, MA 01805-4474

Mailing address

41 Mall Rd
Burlington, MA 01805-4474
Phone (781) 744-2088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514002601 RI Practitioner - Endocrinology 0244453710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and Endocrinology Associates, Inc.Group PAC ID 0749281087, 5 clinicians

Practice addresses (Care Compare)

100 Highland Ave
Suite 203
Providence, RI 02906-2752
Phone (401) 351-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.15 of 100Reported as group
Quality
61.74
Improvement activities
40
Cost
81.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261279MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Associates, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2018 Accepting new patients

Locations

100 Highland Ave
Ste 203
Providence, RI 02906
Phone (401) 351-7100

Organizations & group practices 1

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 9

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1467893826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018054474",
            "telephone_number": "781-744-2088",
            "fax_number": "401-729-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018054474",
            "telephone_number": "781-744-2088",
            "fax_number": "401-729-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODARKAR",
        "first_name": "AMEYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP02884",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "261279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.