Individual provider Active NPI

Alexander L Dogon, M.D.

  • Emergency Medicine Physician
  • Boston, MA
National Provider Identifier
1790718278
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
220940 Issued in MA
Practice address
1153 Centre St
Emergency Department
Boston, MA 02130-3446
Phone
(617) 983-7132
Fax
(617) 983-7834
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 220940 MA Primary

Addresses

Primary practice location

1153 Centre St
Emergency Department
Boston, MA 02130-3446

Mailing address

1153 Centre St
Emergency Department
Boston, MA 02130-3446
Phone (617) 983-7132

Other identifiers 1

IdentifierTypeStateIssuer
1200283MedicaidMA

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
I20040803000412 MA Practitioner - Emergency Medicine 5597736751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.03 of 100Reported as individual
Quality
66.6
Improvement activities
0
Cost
71.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220940MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Quincy Medical Center, a Steward Family Hospital Inc Past Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790718278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7132",
            "fax_number": "617-983-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7132",
            "fax_number": "617-983-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGON",
        "first_name": "ALEXANDER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "220940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200283",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.