Individual provider Active NPI

Mary L Bakalos, M.D.

  • Diagnostic Radiology Physician
  • Ayer, MA
National Provider Identifier
1629036090
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
154232 Issued in MA
Practice address
200 Groton Rd
Nashoba Valley Medical Center
Ayer, MA 01432-1168
Phone
(978) 784-9270
NPI assigned
May 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 154232 MA Primary

Addresses

Primary practice location

200 Groton Rd
Nashoba Valley Medical Center
Ayer, MA 01432-1168

Mailing address

9 Allan Dr
Maynard, MA 01754-1909
Phone (978) 784-9270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000741 MA Practitioner - Diagnostic Radiology 9032190640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and M Radiology IncGroup PAC ID 6305819228, 20 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone (978) 946-8103

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 8, 2018 Accepting new patients
L & M Radiology, Inc. Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 25, 2022 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

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.

Hospital & facility affiliations 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629036090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ALLAN DR",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541909",
            "telephone_number": "978-784-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROTON RD",
            "address_2": "NASHOBA VALLEY MEDICAL CENTER",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321168",
            "telephone_number": "978-784-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKALOS",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "154232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

Verify at the official NPI Registry.