Active NPI
Gopala Dwarakanath, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lowell, MA
National Provider Identifier
1609862630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 50393
- Practice address
- 2 Hospital Dr
Lowell, MA 01852-1311 - Phone
- (978) 618-5550
- Fax
- (978) 937-6842
- NPI assigned
- Sep 26, 2005
- Last updated
- Oct 23, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 50393 | MA | |
| Anesthesiology Physician | 207L00000X | 9652 | NH | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 50393 | MA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 9652 | NH |
Addresses
Primary practice location
2 Hospital Dr
Lowell, MA 01852-1311
Mailing address
290 Broadway 104
Methuen, MA 01844-6827
Phone (978) 683-5115
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4451978 | Other | MA | AETNA |
| 20-01286 | Other | MA | EVERCARE |
| J05943 | Other | MA | BCBSMA |
| 0108621Y0MA01 | Other | NH | ANTHEM |
| 705679 | Other | MA | THP |
| 3011330 | Medicaid | MA | |
| 30005579 | Medicaid | NH | |
| 8984154-001 | Other | MA | CIGNA |
| 0003232 | Other | MA | NHP |
| 26794 | Other | MA | FCHP |
| 275207 | Other | MA | HPHC |
| 20-00178 | Other | MA | UHC |
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 |
|---|---|---|---|
| 9652 | NH | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowell Spine and Pain Associates | Past | Accepting new patients | |
| The Lowell General Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lowell, MA
- NPI 1316271588
-
- Physical Medicine & Rehabilitation Physician
- Lowell, MA
- NPI 1245592419
-
dba Lowell General Hospital
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1609862630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BROADWAY 104",
"city": "METHUEN",
"state": "MA",
"postal_code": "018446827",
"telephone_number": "978-683-5115",
"fax_number": "978-683-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HOSPITAL DR",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521311",
"telephone_number": "978-618-5550",
"fax_number": "978-937-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWARAKANATH",
"first_name": "GOPALA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "50393",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "9652",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "50393",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NH",
"license": "9652",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4451978",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "20-01286",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J05943",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0108621Y0MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "705679",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3011330",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005579",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8984154-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0003232",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "26794",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "275207",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "20-00178",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.