Individual provider Active NPI

Stephanie G Macausland, M.D

  • Radiation Oncology Physician
  • Milford, MA
National Provider Identifier
1740245505
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
212902 Issued in MA
Practice address
20 Prospect St
Department of Radiation Oncology
Milford, MA 01757-3026
Phone
(508) 488-3800
Fax
(508) 488-3800
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD11843 RI
Radiation Oncology Physician 2085R0001X 212902 MA Primary

Addresses

Primary practice location

20 Prospect St
Department of Radiation Oncology
Milford, MA 01757-3026

Mailing address

20 Prospect St
Department of Radiation Oncology
Milford, MA 01757-3026
Phone (508) 488-3800

Other identifiers 4

IdentifierTypeStateIssuer
7057906MedicaidRI
3600729OtherRIUNITED HEALTHCARE
4804-8OtherRIBLUE CROSS BLUE SHIELD
AA38707OtherRIHARVARD PILGRIM

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
I20090211000708 MA Practitioner - Radiation Oncology 3375578032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Pittsburgh School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3586

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
212902MAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Radiation Therapy of Southeastern Mass, LLC CurrentSince Oct 31, 2014 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Feb 1, 2009 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Feb 1, 2009 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

75 Francis St
Boston, MA 02115

89 Forbes Blvd
Mansfield, MA 02048
Phone (857) 307-3700

20 Prospect St
Milford, MA 01757
Phone (508) 478-2061

101 Columbian St
Weymouth, MA 02190
Phone (781) 624-4800

Interoperability endpoints

  • Direct secure messaging: macausland.stephanie.bwh@direct.partners.masshiway.net

Organizations & group practices 8

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 3

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1740245505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT ST",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573026",
            "telephone_number": "508-488-3800",
            "fax_number": "508-488-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT ST",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573026",
            "telephone_number": "508-488-3800",
            "fax_number": "508-488-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAUSLAND",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD11843",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "212902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057906",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3600729",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4804-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA38707",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.