Denise Mayo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

730000 Issued in MA

Practice address

195 Worcester St
Suite 102
Wellesley, MA 02481-5568

Phone

(617) 219-1510

Fax

(617) 219-1512

NPI assigned

May 26, 2006

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mayo.denise.nwh@direct.partners.masshiway.net

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.

• Mass General Brigham Medical Group Suburban Massachusetts Inc

  • Family Medicine Physician
  • Newton, MA
  • NPI 1538191218
  Medicare reassignment NPD
• Newton Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1952845521
  NPD
• Boston Medical Group, PC

  • Pulmonary Disease Physician
  • Dorchester Center, MA
  • NPI 1538101191
  NPD (past)
• Carney Medical Group

  • Specialist
  • Brighton, MA
  • NPI 1326142704
  NPD (past)
• Southeast Anesthesia Assoc

  • Anesthesiology Physician
  • Dorchester Center, MA
  • NPI 1891780078
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1760438170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WORCESTER STREET",
            "address_2": "SUITE 102",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815521",
            "telephone_number": "617-219-1512",
            "fax_number": "617-219-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WORCESTER ST",
            "address_2": "SUITE 102",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815568",
            "telephone_number": "617-219-1510",
            "fax_number": "617-219-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "730000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3066835",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Grace Matlack, PSY.D.
• Matthew R. Fantasia, D.M.D., P.C.
• David William Matthews, DC
• Bradford Richard Mattison, D.M.D.
• Mary Maxwell, NURSE PRACTITIONER
• Laura Linda McCann, M.D.
• Laura L McCord, MD
• Lindsay McCormack, MD
• Maureen Kelly McCormick, PSY.D
• Phillip D McCrary, MD

• Internal Medicine Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.