Eduardo O Dagostino, MD
Individual provider Active NPI Anesthesiology Physician · Andover, MA
NPI 1912907718 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1912907718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 44715 (MA)
- Practice address
- 349 N Main St
Andover, MA 01810-2687 - Phone
- (978) 475-0959
- Fax
- (978) 475-1769
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.85 of 100
- Quality
- 77.71
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44715 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivs Anesthesia, LLC | Anesthesiology | Current |
Accepting new patients |
| Massachusetts Anesthesia Corporation | Past | Accepting new patients | |
| Emerson Practice Associates II, Inc. | Past |
Accepting new patients | |
| Merrimack Valley Anesthesia | Anesthesiology | Past | Accepting new patients |
| Merrimack Valley Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
Locations
349 N Main St
Andover, MA 01810
Phone (978) 475-0959
140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000
181 Wells Ave
Ste 302
Newton Center, MA 02459
91 Montvale Ave
Ste 302
Stoneham, MA 02180
Phone (781) 438-5995
690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 44715 | MA | Yes |
Addresses
Primary practice location
349 N Main St
Andover, MA 01810-2687
Mailing address
181 Wells Ave Ste 302
Newton, MA 02459-3344
Phone (781) 972-7136
Other practice location 1
91 Montvale Ave Ste 302
Stoneham, MA 02180-3649
Phone (781) 438-5995
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C04853 | Other | BLUE SHIELD | |
| 0104086 | Medicaid | MA |
Other providers in Andover, MA
- CVS Pharmacy Inc
- Kelly Czworka
- Charae J. D'Ambra
- Abrianna M D'Onofrio
- Judy Daggett
- Julie L Dalton
- Daniel R. Morocco, Ed.D., P.C.
- Susanna K Daniel
- Rachel Davis Daniels
- Alexandra Danner
All providers in Andover, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.