NPIMap

Individual provider Active NPI

Reza Hakimelahi, M.D.

  • Diagnostic Radiology Physician
  • Burlington, MA
National Provider Identifier
1063703791
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
262112 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-2621
Phone
(781) 744-8000
Fax
(781) 744-3707
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 262112 MA Primary
Neuroradiology Physician 2085N0700X P9867 TX
Neuroradiology Physician 2085N0700X 262112 MA

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-2621

Mailing address

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8000

Other practice location 1

55 Fruit St
Department of Radiology
Boston, MA 02114-2621
Phone (617) 726-8323

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
I20150728004427 MA Practitioner - Diagnostic Radiology 5496069973 Reassigns benefits to 7 organizations
I20250627002271 NH Practitioner - Diagnostic Radiology 5496069973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Umass Memorial Radiology Phys ServGroup PAC ID 6800868779, 40 clinicians
Shields Radiology AssociatesGroup PAC ID 8527026103, 16 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

100 S St
Southbridge, MA 01550-4051
Phone (508) 856-5381

16 Hayden Ave
Lexington, MA 02421-7929
Phone (781) 372-7100

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

265 Westgate Dr
Suite 2
Brockton, MA 02301-1817
Phone (800) 258-4674

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262112MAMDNeuroradiology Physician
P9867TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Jul 1, 2025 Accepting new patients
Shields Radiology Associates Diagnostic Radiology CurrentSince Sep 22, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince Apr 27, 2020 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA CurrentSince Jul 1, 2025 Accepting new patients
Umass Memorial Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jan 1, 2020 Accepting new patients

Locations

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

55 Fruit St
Boston, MA 02114

265 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (800) 258-4574

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

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

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

10 Little Brook Rd
West Wareham, MA 02576

214 Shrewsbury St
Worcester, MA 01604
Phone (508) 756-7300

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Interoperability endpoints

  • Direct secure messaging: rhakimelahi147972@direct.bilh.masshiway.net

Organizations & group practices 10

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 6

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1063703791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018052621",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_2": "Department of Radiology",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-8323",
            "fax_number": "617-724-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIMELAHI",
        "first_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "262112",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "P9867",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "262112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.