NPIMap

Individual provider Active NPI

Aleksey Tadevosyan, MD

  • Neurocritical Care Physician
  • Scarborough, ME
National Provider Identifier
1477998789
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
MD29479 Issued in ME
Practice address
92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone
(207) 883-1414
Fax
(207) 883-1010
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 278828 MA
Neurology Physician 2084N0400X MD29479 ME
Neurocritical Care Physician 2084A2900X 0101275991 VA
Neurocritical Care Physician 2084A2900X 278828 MA
Neurocritical Care Physician 2084A2900X MD29479 ME Primary

Addresses

Primary practice location

92 Campus Dr Ste B
Scarborough, ME 04074-7229

Mailing address

92 Campus Dr Ste B
Scarborough, ME 04074-7229
Phone (207) 883-1414

Other practice location 1

41 Mall Rd
Burlington, MA 01805-3307
Phone (781) 744-8000

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 3

100 Foden Rd Ste 103
South Portland, ME 04106-2327
Phone (207) 828-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, DC, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190524001069 MA Practitioner - Neurology 2264730332 Reassigns benefits to 2 organizations
I20230217000951 VA Practitioner - Neurology 2264730332 Reassigns benefits to 1 organization
I20230220000007 DC Practitioner - Neurology 2264730332 Reassigns benefits to 2 organizations
I20250811001549 ME Practitioner - Neurology 2264730332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Vermont College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

181 Franklin Health CMNS
Farmington, ME 04938-6144

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

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
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101275991VAMDNeurocritical Care Physician
278828MAMDNeurology Physician
MD29479MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Mainehealth CurrentSince Sep 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Jan 3, 2023 Accepting new patients
Mainehealth CurrentSince Sep 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Jan 3, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 15, 2019 Accepting new patients
Inova Health Care Services CurrentSince Jan 7, 2023 Accepting new patients

Locations

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

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143

1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: atadevosyan125446@direct.bilh.masshiway.net

Organizations & group practices 8

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1477998789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-883-1414",
            "fax_number": "207-883-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR STE B",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747229",
            "telephone_number": "207-883-1414",
            "fax_number": "207-883-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018053307",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Foden Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062327",
            "country_code": "US",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADEVOSYAN",
        "first_name": "ALEKSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "278828",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "MD29479",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "VA",
            "license": "0101275991",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "MA",
            "license": "278828",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "ME",
            "license": "MD29479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.