Individual provider Active NPI

Komal Talati

  • Diagnostic Radiology Physician
  • Lowell, MA
National Provider Identifier
1104182575
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
275568 Issued in MA
Practice address
295 Varnum Ave
Lowell, MA 01854
Phone
(978) 937-6429
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 275568 MA Primary

Addresses

Primary practice location

295 Varnum Ave
Lowell, MA 01854

Mailing address

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6429

Other practice location 1

295 Varnum Ave
Lowell, MA 01854
Phone (978) 937-6429

Other practice location 2

225 Front St
Binghamton, NY 13905-2474
Phone (607) 778-3938

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
I20181224000253 MA Practitioner - Diagnostic Radiology 5395080154 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Oct 8, 2018 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Dec 5, 2018 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Oct 15, 2018 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Feb 11, 2019 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Oct 15, 2018 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Oct 8, 2018 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Oct 15, 2018 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Feb 11, 2019 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Interoperability endpoints

  • Direct secure messaging: ktalati31445@tuftsmedicine.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1104182575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542134",
            "telephone_number": "978-937-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-937-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Varnum Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "01854",
            "country_code": "US",
            "telephone_number": "978-937-6429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Front St",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139052474",
            "country_code": "US",
            "telephone_number": "607-778-3938",
            "fax_number": "607-778-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALATI",
        "first_name": "KOMAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "275568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.