DALTON T MOURAO MD
NPI 1033812003
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 27, 2023PECOS Enrolled
100 CENTURY DR, WORCESTER, MA 01606(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton T Mourao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALTON T MOURAO MD (NPI 1033812003) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1033812003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDALTON T MOURAOCredential: MD
Location Address100 CENTURY DRWorcester, MA 01606-1244
Mailing Address100 Century DrWorcester, MA 01606-1244 · (508) 334-1000
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1033812003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 CENTURY DR, Worcester, MA 01606

Secondary Practice Location 1

Location 1335 Chandler StWorcester, MA 01602-3441 · Phone (508) 334-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dalton T Mourao Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Nurse Practitioner (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Pharmacist
100 CENTURY DR
WORCESTER, MA 01606
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 CENTURY DR
WORCESTER, MA 01606
Psychologist (Clinical)
100 CENTURY DR
WORCESTER, MA 01606
Social Worker
100 CENTURY DR
WORCESTER, MA 01606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalton Mourao's NPI number?

The NPI number for Dalton Mourao is 1033812003. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Dalton Mourao located?

Dalton Mourao practices at 100 Century Dr, Worcester, MA 01606. The listed phone number is (508) 334-1000.

What is Dalton Mourao's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dalton Mourao enrolled in Medicare?

Yes. Dalton Mourao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dalton Mourao was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.