NPIMap

Individual provider Active NPI

Shahmir Kamalian

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1053670661
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
254751 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 726-8323
Fax
(617) 724-3338
NPI assigned
May 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 254751 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20130904000091 MA Practitioner - Diagnostic Radiology 0840433280 Reassigns benefits to 7 organizations
I20230802002087 NH Practitioner - Diagnostic Radiology 0840433280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1285 Beacon St
Brookline, MA 02446-5237
Phone (888) 980-0505

137 Stuart St
Suite a 7
Boston, MA 02116-5609
Phone (888) 980-0505

425 Washington St
Woburn, MA 01801-2157
Phone (617) 724-9245

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

71 Needham St
Newton, MA 02461-1663
Phone (781) 342-4386

90 Brigham Way
Westwood, MA 02090-2444
Phone (774) 231-1941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254751MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC CurrentSince May 16, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Oct 7, 2020 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 7, 2020 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 10, 2021 Accepting new patients
The Shriners' Hospital for Children CurrentSince Mar 10, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince May 16, 2020 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Nov 1, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Oct 7, 2020 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

20 Patriot Pl
Foxborough, MA 02035
Phone (508) 718-4000

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: kamalian.mohammadshahmir.mgh@direct.partners.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1053670661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-8323",
            "fax_number": "617-724-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALIAN",
        "first_name": "SHAHMIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "254751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.