Active NPI
Davor Kvaternik, MD
- Nuclear Cardiology Physician
- Burlington, MA
National Provider Identifier
1548255342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- 1548255342
- Practice address
- 41 Mall Rd
Burlington, MA 01805-2310 - Phone
- (781) 744-8000
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 41775 | MA | |
| Nuclear Cardiology Physician | 207UN0901X | 1548255342 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-2310
Mailing address
25 Marston St
Suite 404
Lawrence, MA 01841-2310
Phone (978) 989-9811
Other practice location 1
25 Marston St
Suite 404
Lawrence, MA 01841-2310
Phone (978) 989-9811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3092224 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1548255342 | MA | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Radiology Associates | Past | Accepting new patients |
Interoperability endpoints
- davor.kvaternik.1@28652.direct.athenahealth.com
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.
-
- Diagnostic Radiology Physician
- Methuen, MA
- NPI 1205813722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1548255342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MARSTON ST",
"address_2": "SUITE 404",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412310",
"telephone_number": "978-989-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018052310",
"telephone_number": "781-744-8000"
}
],
"practiceLocations": [
{
"address_1": "25 Marston St",
"address_2": "Suite 404",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018412310",
"country_code": "US",
"telephone_number": "978-989-9811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KVATERNIK",
"first_name": "DAVOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "41775",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "MA",
"license": "1548255342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3092224",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.