Doru C. Iancovici, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

73029 Issued in MA

Practice address

425 Revere St
Revere, MA 02151-4543

Phone

(781) 286-1313

Fax

(781) 286-1098

NPI assigned

Aug 25, 2006

Sex

Male

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
• Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
• Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Tufts Medical Center Hospital, Boston, MA, CCN 220116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diancovici28701@tuftsmedicine.direct-ci.com

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.

• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Winchester Medical Associates

  • Cardiovascular Disease Physician
  • Winchester, MA
  • NPI 1902888779
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All Care Visiting Nurse Association of Greater Lynn Inc.

  • Home Health Agency
  • Lynn, MA
  • NPI 1386640597
  Care Compare affiliation Name & address match
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Westwood, MA
  • NPI 1740529668
  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation
• Tufts Medicine Care at Home, Inc.

  • Home Health Agency
  • Lowell, MA
  • NPI 1336443472
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1841307691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514543",
            "telephone_number": "781-286-1313",
            "fax_number": "781-286-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 REVERE ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514543",
            "telephone_number": "781-286-1313",
            "fax_number": "781-286-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANCOVICI",
        "first_name": "DORU",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3062902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Ann Hoban, MS, CCC-SLP
• Holness Home Care
• Eddie Hornedo Jr., LDO
• Hornedo'S Enterprise, Inc.
• Vivian Hyatt
• Pamela Jean Iapicca
• Michela Iheuwa
• Insights Psychological Services
• J Bardina Primary Care
• Mary Jacob, DMD

• Internal Medicine Physician in Revere, MA
• Providers in Revere, 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 Feb 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.