Individual provider Active NPI

John Guy Santilli, MD

  • Vascular & Interventional Radiology Physician
  • Boston, MA
National Provider Identifier
1063567899
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
BS7279537 Issued in MA
Practice address
300 Longwood Ave
Department of Radiology
Boston, MA 02115-5724
Phone
(617) 355-6936
Fax
(617) 730-0541
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X BS7279537 MA
Neuroradiology Physician 2085N0700X BS7279537 MA
Nuclear Radiology Physician 2085N0904X BS7279537 MA
Diagnostic Radiology Physician 2085R0202X BS7279537 MA
Vascular & Interventional Radiology Physician 2085R0204X BS7279537 MA Primary
Diagnostic Ultrasound Physician 2085U0001X BS7279537 MA

Addresses

Primary practice location

300 Longwood Ave
Department of Radiology
Boston, MA 02115-5724

Mailing address

300 Longwood Ave
Department of Radiology
Boston, MA 02115-5724
Phone (617) 355-6936

Other identifiers 1

IdentifierTypeStateIssuer
3207951MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000326 MA Practitioner - Diagnostic Radiology 8729970983 Reassigns benefits to 6 organizations
I20220623001215 CT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8729970983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Associates of Middletown PCGroup PAC ID 5799765186, 32 clinicians

Practice addresses (Care Compare)

19 Water St
Hingham, MA 02043-1942
Phone (860) 368-0050

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 344-6293

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Oct 1, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Harbor Medical Associates, Inc. Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Brigham & Womens Physicians Organization Inc Body Imaging CurrentSince Jan 6, 2016 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince May 23, 2022 Accepting new patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Body Imaging CurrentSince Oct 1, 2021 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Oct 1, 2021 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince May 23, 2022 Accepting new patients
Physicians of Cape Cod Hospital Neuroradiology CurrentSince Aug 1, 2012 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Body Imaging Past Accepting new patients
Eagle Partners, PLLC Body Imaging Past Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

2A Samson Rock Dr
Madison, CT 06443
Phone (203) 245-5904

12 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 358-3200

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

75 Francis St
Boston, MA 02115

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

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

55 Fruit St
#290
Boston, MA 02114
Phone (617) 724-8314

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

111 Cypress St
Brookline, MA 02445
Phone (617) 582-1200

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

541 Main St
Ste 400
Weymouth, MA 02190
Phone (781) 340-0100

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

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 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1063567899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6936",
            "fax_number": "617-730-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6936",
            "fax_number": "617-730-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLI",
        "first_name": "JOHN",
        "middle_name": "GUY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "BS7279537",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "BS7279537",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MA",
            "license": "BS7279537",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "BS7279537",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "BS7279537",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MA",
            "license": "BS7279537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207951",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.