Active NPI
Timothy Frey, M.D.
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 59953
- Practice address
- 736 Cambridge St
Department of Radiology
Boston, MA 02135-2907 - Phone
- (617) 789-2740
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 59953 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Department of Radiology
Boston, MA 02135-2907
Mailing address
736 Cambridge St
Department of Radiology
Boston, MA 02135-2907
Phone (617) 789-2740
Other practice location 1
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 565-3275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3045668 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
2175 State Rd
Suite 4
Pinon, AZ 86510-2147
Phone (928) 725-9000
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
Navajo Route 64 and 12
Tsaile, AZ 86556-0467
Phone (928) 724-3600
PO Box PH
Chinle, AZ 86503-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients |
Locations
85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
110 Liberty St
Brockton, MA 02301
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
10 Little Brook Rd
West Wareham, MA 02576
Interoperability endpoints
- timothy.frey@direct.signature.masshiway.net
- tfrey27681@direct.bilh.masshiway.net
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
- Brockton, MA
- NPI 1508804949
-
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
- Diagnostic Radiology Physician
- Beverly, MA
- NPI 1538110846
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Pinon, AZ
- NPI 1396761565
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1053467969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2740"
}
],
"practiceLocations": [
{
"address_1": "110 Liberty St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023015674",
"country_code": "US",
"telephone_number": "508-565-3275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREY",
"first_name": "TIMOTHY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "59953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3045668",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.