Kevan John Mamdouhi, MD
NPI 1013477512ActiveIndividual· Emergency Medicine· Burlington, MA
Emergency Medicine (MD) in Burlington, Massachusetts, trained at New York Medical College (class of 2019). 463 Medicare patients in 2024, $63,016 paid; nearly all of their 109 Part D prescriptions were generic (93%).
Overview
| NPI | 1013477512 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 21, 2019 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 290694 | MA |
| Emergency Medicine, Medical Toxicology | 207PT0002X | 290694 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 463 |
|---|---|
| Services billed | 504 across 28 procedure codes |
| Paid by Medicare | $63,016 |
Part D prescriptions in 2024
| Prescriptions (claims) | 109 · 120 30-day fills |
|---|---|
| Patients | 92 |
| Total drug cost | $2,212 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Medical Toxicology |
Medical groups
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
- Lahey Clinic IncBurlington, MA · 1,381 clinicians
Hospital affiliations
- Lahey Hospital & Medical Center, BurlingtonBurlington, MA
- Umass Memorial Medical Center/University CampusWorcester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 48 emergency medicine physicians in Burlington · All emergency medicine physicians in Massachusetts