Individual provider Active NPI

Ashley Davidoff, MB, BCH

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1063430395
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
53080 Issued in MA
Practice address
840 Harrison Ave
Boston, MA 02118-2905
Phone
(617) 638-6610
Fax
(617) 638-6616
NPI assigned
Jul 17, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 53080 MA Primary

Addresses

Primary practice location

840 Harrison Ave
Boston, MA 02118-2905

Mailing address

960 Massachusetts Ave
FLR 2
Boston, MA 02118

Other practice location 1

235 North Pearl St
Brockton, MA 02301
Phone (508) 427-2665

Other practice location 2

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

Other identifiers 2

IdentifierTypeStateIssuer
110042576AMedicaidMA
3120125MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000048 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5193750727 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Medical Center Radiologists, Inc.Group PAC ID 1052392768, 61 clinicians
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-6610

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
BMC Affiliated Physicians, Inc. Diagnostic Radiology CurrentSince Nov 10, 2025 Accepting new patients
Neighborhealth Corporation CurrentSince Oct 1, 2019 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Oct 1, 2019 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients
Caritas Medical Group Inc. Diagnostic Radiology Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

11 Nevins St
Ste 202
Brighton, MA 02135
Phone (617) 254-9991

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2

Interoperability endpoints

  • Direct secure messaging: adavidoff119793@direct.bmc.masshiway.net

Organizations & group practices 8

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 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1063430395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FLR 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905",
            "telephone_number": "617-638-6610",
            "fax_number": "617-638-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 North Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-427-2665",
            "fax_number": "508-427-2368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-2762",
            "fax_number": "617-562-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDOFF",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "MB, BCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "53080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110042576A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120125",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.