Active NPI
Dana Marcinkowski-Desmond, M.D.
- Family Medicine Physician
- Medford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 277849
- Practice address
- 75 Riverside Ave Ste 2
Medford, MA 02155-4600 - Phone
- (781) 306-0200
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Winchester, MA
- NPI 1184606865
Family Medicine, MA
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1508244195
-
- Urgent Care Clinic/Center
- Gloucester, MA
- NPI 1609396803
-
- Internal Medicine Physician
- North Reading, MA
- NPI 1215919931
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Beth Israel Lahey Health Primary Care, Inc
Practice addresses (Care Compare)
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381
Hospital & facility affiliations
- Winchester Hospital
- Beth Israel Deaconess Medical Center
- Lahey Hospital & Medical Center, Burlington
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191115001127 | MA | Practitioner - Family Practice | 3779874656 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Winchester Physician Associates, Inc | Family Medicine | Current | Accepting new patients |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients | |
| Winchester Physician Associates | Past | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
101 Station Lndg
Ste 500
Medford, MA 02155
Phone (781) 306-0200
75 Riverside Ave
Ste 2
Medford, MA 02155
Phone (781) 306-0200
203 Main St
North Reading, MA 01864
Phone (978) 664-1990
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Interoperability endpoints
- dmarcinkowskidesmond108446@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 277849 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
75 Riverside Ave Ste 2
Medford, MA 02155-4600
Mailing address
75 Riverside Ave Ste 2
Medford, MA 02155-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2019.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1922454677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 RIVERSIDE AVE STE 2",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 RIVERSIDE AVE STE 2",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554600",
"telephone_number": "781-306-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINKOWSKI-DESMOND",
"first_name": "DANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "277849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.