LAURA MARIE BEVILACQUA (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1700875507

LAURA MARIE BEVILACQUA (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 155889 (MA). The NPI Number for LAURA MARIE BEVILACQUA (MD) is 1700875507

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LAURA MARIE BEVILACQUA (MD)
NPI
1700875507
Phone
(603) 890-4404
Address
PO BOX 9135
Enumeration Date
14 October 2005
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
6173556000
Graduation Year
1992 (34 years ago)
PAC ID
5991962987
Group Practice PAC ID
8729071675
Professional Enrollment ID
I20120202000366
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,398 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MA

Loading map...

Provider Addresses for LAURA MARIE BEVILACQUA (MD)

  • Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    ATT:SHARON SILVA

    BROOKLINE, MA 024469135

    Phone: (603) 890-4404

    Type: Mailing

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BOSTON, MA 021155724

    Phone: (617) 355-6793

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120202000366IPediatric MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02446)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729071675View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MA
Critical Care (Intensivists), Cardiovascular Disease (Cardiology)TX
Pediatric Medicine, Cardiovascular Disease (Cardiology)CO
Cardiovascular Disease (Cardiology)MA
Cardiovascular Disease (Cardiology)MA
Cardiovascular Disease (Cardiology)MA
-MA
Cardiovascular Disease (Cardiology), Internal MedicineMA
Cardiovascular Disease (Cardiology), Pediatric MedicineMA
Cardiovascular Disease (Cardiology), Pediatric MedicineMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check LAURA MARIE BEVILACQUA (MD) using NPI 1700875507?
NPI 1700875507 belongs to LAURA MARIE BEVILACQUA (MD); compare other details if you need extra assurance.
Is there an active status for LAURA MARIE BEVILACQUA (MD)?
For scheduling context, LAURA MARIE BEVILACQUA (MD) is shown as active in the registry.
What clinical focus is listed for LAURA MARIE BEVILACQUA (MD)?
At a glance, LAURA MARIE BEVILACQUA (MD) is tied to Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAURA MARIE BEVILACQUA (MD)?
Travel planning: use Brookline, Massachusetts as the reference point for LAURA MARIE BEVILACQUA (MD), then confirm.
Does LAURA MARIE BEVILACQUA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MARK EDWARD ALEXANDER (MD)

Pediatric Cardiology Physician
300 Longwood Ave
NPI: 1013907666

JOHN TRIEDMAN (MD)

Clinical Cardiac Electrophysiology Physician
Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1225009632

BRUCE ANDREW KOPLAN (MD)

Clinical Cardiac Electrophysiology Physician
455 Toll Gate Road
NPI: 1083663298
375, Boylston Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States
NPI: 1609827583

Unknown Individual

Clinical Cardiac Electrophysiology Physician
185, Pilgrim Road, Boston, Suffolk County, Massachusetts, 02215, United States
NPI: 1740227446

DR. PANAGIOTIS CONSTANTINE VOUKYDIS

Clinical Cardiac Electrophysiology Physician
29, Abbottsford Road, JFK Crossing, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1144268822

dba Dept of Medicine

Internal Medicine Physician
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1235157769

ELAD ANTER (M.D.)

Clinical Cardiac Electrophysiology Physician
Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States
NPI: 1891832499

THOMAS M TADROS (M.D.)

Clinical Cardiac Electrophysiology Physician
455 Toll Gate Rd
NPI: 1043400187