Individual provider Active NPI

Alexander Doumas, M.D.

  • Cardiovascular Disease Physician
  • Beverly, MA
National Provider Identifier
1770619363
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
227196 Issued in MA
Practice address
75 Herrick St
Suite 206
Beverly, MA 01915-5903
Phone
(978) 927-8400
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 227196 MA Primary

Addresses

Primary practice location

75 Herrick St
Suite 206
Beverly, MA 01915-5903

Mailing address

75 Herrick St
Suite 206
Beverly, MA 01915-5903
Phone (978) 927-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080602000896 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012087067 Reassigns benefits to 3 organizations
I20240730002435 NH Practitioner - Cardiovascular Disease (Cardiology) 7012087067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227196MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince May 15, 2025 Accepting new patients
Core Physicians, LLC CurrentSince May 15, 2025 Accepting new patients
Lahey Clinic, Inc. CurrentSince Feb 1, 2014 Accepting new patients
Lahey Clinic, Inc CurrentSince Feb 1, 2014 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

77 Herrick St
Beverly, MA 01915
Phone (978) 927-3040

75 Herrick St
Ste 206
Beverly, MA 01915
Phone (978) 927-8400

100 Cummings Ctr
Ste 408J
Beverly, MA 01915
Phone (978) 524-9950

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

14A Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1380

14A Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 404-6800

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

6 Tsienneto Rd
Ste 101LL
Londonderry, NH 03038
Phone (603) 537-2060

Interoperability endpoints

  • Direct secure messaging: adoumas28237@direct.bilh.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beverly Hospital, Addison Gilbert Hospital, Bay Ridge HospitalBeverly, MA, CCN 220033 Hospital Corporate Director Dec 19, 2012
Beverly Hospital, Addison Gilbert Hospital, Bayridge HospitalBeverly, MA, CCN 22S033 Hospital Corporate Director Oct 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1770619363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 206",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-927-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 206",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-927-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMAS",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "227196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.