Individual provider Active NPI

Andrew Marc Tareila, MD

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1891288627
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD17185 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5127
Fax
(401) 444-3056
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD17185 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

125 Metro Center Blvd
Warwick, RI 02886-1768
Phone (401) 432-2500

Other identifiers 1

IdentifierTypeStateIssuer
LP04344OtherRILICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 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
I20241014003218 MA Practitioner - Diagnostic Radiology 9133556897 Reassigns benefits to 9 organizations
I20251113002139 ME Practitioner - Diagnostic Radiology 9133556897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
Yorkrad LLCGroup PAC ID 9133594740, 14 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians
MW Radiology-Cra LLCGroup PAC ID 6406270040, 40 clinicians
Monadnock Community HospitalGroup PAC ID 7416933031, 67 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

3 Loving Kindness Way
York, ME 03909
Phone (207) 363-4321

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

59 Witherell Dr
Sudbury, MA 01776-1249
Phone (603) 924-7191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
82.44
Improvement activities
40
Cost
86.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 1, 2024 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Yorkrad LLC Diagnostic Radiology CurrentSince Sep 30, 2025 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Heywood Medical Group Inc. CurrentSince May 2, 2025 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 1, 2024 Accepting new patients
Shields Imaging at Heywood Healthcare LLC CurrentSince Oct 7, 2025 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Apr 27, 2025 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 1, 2024 Accepting new patients
Heywood Medical Group Inc CurrentSince May 2, 2025 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Sep 21, 2024 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

210 Commerce Way
Ste 100
Portsmouth, NH 03801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1891288627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861768",
            "telephone_number": "401-432-2500",
            "fax_number": "401-921-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5127",
            "fax_number": "401-444-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAREILA",
        "first_name": "ANDREW",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD17185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LP04344",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.