Shashikala Dwarakanath, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

53529 Issued in MA

Practice address

1 General Street
Lawrence General Hospital
Lawrence, MA 01842

Phone

(978) 683-4000

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pathology Associates of Lowell, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lowell, MA
  • NPI 1740337286
  Medicare reassignment

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730236266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3045",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042433045",
            "telephone_number": "978-683-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL STREET",
            "address_2": "LAWRENCE GENERAL HOSPITAL",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01842",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWARAKANATH",
        "first_name": "SHASHIKALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "53529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030750",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilsson Gabriel Duran
• Yojaira Duran
• Jennifer D Durning, N.P.
• Tracey Marie Dushame, RN
• Dorothy Duval, LICSW
• Maura A Dwyer, C.R.N.A.
• Carolyn A Dyer, LADC
• Dynamic Behavioral Health Solutions LLC
• Julie Theresa Dziki, LICSW
• Ilene Ea, DMD

• Anatomic Pathology & Clinical Pathology Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.