Individual provider Active NPI

Manuel Patino Galindo, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1114414398
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1018403 Issued in MA
Practice address
55 Fruit St Dept of
Boston, MA 02114-2621
Phone
(617) 391-5971
NPI assigned
Apr 13, 2018
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 NU
Diagnostic Radiology Physician 2085R0202X 1018403 MA Primary

Addresses

Primary practice location

55 Fruit St Dept of
Boston, MA 02114-2621

Mailing address

55 Fruit St. Gray 2 RM 241
Boston, MA 02114-2696
Phone (832) 389-9726

Other practice location 1

243 Charles St Dept Of
Boston, MA 02114-3002
Phone (617) 391-5971

Other practice location 2

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6501

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
I20250530003106 MA Practitioner - Diagnostic Radiology 9638418460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Endicott St
MGH North Shore Medical
Danvers, MA 01923-3623
Phone (978) 882-6100

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince May 22, 2025 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince May 22, 2025 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

55 Fruit St
Boston, MA 02114

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

55 Fruit St
Rm 241
Boston, MA 02114
Phone (617) 726-8320

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

Interoperability endpoints

  • Direct secure messaging: patinogalindo.manuel.meei@direct.partners.masshiway.net

Organizations & group practices 4

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 5

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1114414398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST. GRAY 2 RM 241",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "832-389-9726",
            "fax_number": "617-724-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST DEPT OF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-391-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Charles St Dept Of",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143002",
            "country_code": "US",
            "telephone_number": "617-391-5971",
            "fax_number": "617-573-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-6501",
            "fax_number": "516-572-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATINO GALINDO",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-13",
        "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": "1018403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.