NPIMap

Individual provider Active NPI

Craig Kolodziej, M.D.

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1023115672
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220762 Issued in MA
Practice address
951 NW 13TH St, Suite 1C
Boca Radiology Group
Boca Raton, FL 33486
Phone
(561) 447-9341
NPI assigned
Sep 17, 2006
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220762 MA Primary

Addresses

Primary practice location

951 NW 13TH St, Suite 1C
Boca Radiology Group
Boca Raton, FL 33486

Mailing address

449 Beacon St Apt 7
Boston, MA 02115-1311
Phone (617) 262-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090224000129 MA Practitioner - Diagnostic Radiology 2062577166 Reassigns benefits to 3 organizations
I20100308000950 FL Practitioner - Diagnostic Radiology 2062577166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
MW Radiology-Cra LLCGroup PAC ID 6406270040, 40 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8237

2011 N Ocean Blvd
Apt 1306N
Fort Lauderdale, FL 33305-3758
Phone (781) 979-3000

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220762MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Feb 1, 2018 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince May 28, 2018 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Feb 1, 2018 Accepting new patients
Yorkrad LLC Diagnostic Radiology CurrentSince Mar 15, 2026 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Feb 1, 2018 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients
Palm Beach Radiology Professionals, PA Diagnostic Radiology Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients
Anthony N Dardano D O P a PastSince May 17, 2008 Accepting new patients

Locations

1342 Belmont St
Ste 205
Brockton, MA 02301

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

Interoperability endpoints

  • Direct secure messaging: ckolodziej31409@tuftsmedicine.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1023115672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 BEACON ST APT 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151311",
            "telephone_number": "617-262-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST, SUITE 1C",
            "address_2": "BOCA RADIOLOGY GROUP",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-447-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "220762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.