Roderick Mao

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8084 Issued in MA

Practice address

250 Green St Ste 205
Gardner, MA 01440-1377

Phone

(978) 632-0800

NPI assigned

Oct 26, 2020

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Surgical Associates of Lowell, P.C.Group PAC ID 4880506484, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063
• Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
• Direct secure messaging: rmao110847@tuftsmedicine.direct-ci.com
• Direct secure messaging: roderick.mao.1@1154.direct.athenahealth.com

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.

• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • North Chelmsford, MA
  • NPI 1457361040
  Medicare reassignment Care Compare group
• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047
  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Medicare reassignment NPD
• Boston Orthopaedic and Spine LLC

  • Orthopaedic Surgery Physician
  • Brighton, MA
  • NPI 1619507043
  Medicare reassignment
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286
  Medicare reassignment
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD
• Heywood Medical Group Inc

  dba Tully Walk-In Care Center

  • Urgent Care Clinic/Center
  • Athol, MA
  • NPI 1881123552
  NPD
• Orthopaedic Surgical Associates of Lowell, P.C.

  • Orthopaedic Surgery Physician
  • Westford, MA
  • NPI 1568055309
  NPD

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

• Mount Auburn Hospital

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1689670259
  Care Compare affiliation
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1700485224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST STE 205",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST STE 205",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401377",
            "telephone_number": "978-632-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "RODERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1657",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "8084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayaz Tariq Malik, M.D.
• Leslie Edward Malkiewich, PH.D.
• Alissa Anne Mallozzi, R.N.
• Lori Jean Malnati, LCSW
• Many Gifts Speech & Language Therapy
• Laura Ivonne Mapes, RPH
• John Maresca, M. ED
• Mark Brooks, PH.D., Inc.
• Andrew Markwith, M.D.
• Jay Eric Marrero

• Medical Physician Assistant in Gardner, MA
• Providers in Gardner, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.