Active NPI
Prajwal Dhakal, MBBS
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1093694960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5001590
- Practice address
- Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215 - Phone
- (617) 667-3524
- Fax
- (617) 667-3513
- NPI assigned
- Aug 27, 2025
- Reactivated
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 5001590 | MA | Primary |
Addresses
Primary practice location
Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215
Mailing address
Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-3524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1093694960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER",
"address_2": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-3524",
"fax_number": "617-667-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BETH ISRAEL DEACONESS MEDICAL CENTER",
"address_2": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-3524",
"fax_number": "617-667-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHAKAL",
"first_name": "PRAJWAL",
"name_prefix": "Mr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-27",
"last_updated": "2026-10-01",
"deactivation_date": "2026-03-26",
"reactivation_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "5001590",
"primary": true
}
],
"identifiers": [],
"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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.