Active NPI
Thomas A Verdi, MD
- Diagnostic Radiology Physician
- Boston, MA
National Provider Identifier
1124070008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 58675
- Practice address
- 133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904 - Phone
- (617) 421-1336
- Fax
- (617) 421-1359
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 58675 | MA | Primary |
Addresses
Primary practice location
133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904
Mailing address
133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904
Phone (617) 421-1336
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3026272 | Other | MEDICAID WELFARE | |
| J06727 | Other | BLUE CARE ELECT | |
| J06727 | Other | BLUE SHIELD INDEMNITY | |
| J06727 | Other | BLUE SHIELD HMO BLUE | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 3026272 | Medicaid | MA | |
| 7384295 | Other | AETNA US HEALTHCARE | |
| 784218 | Other | MVP HEALTH CARE | |
| 7996 | Other | FALLON COMMUNITY HEALTH P | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 1150385 | Other | FIRST HEALTH | |
| 1179211 | Other | CIGNA HEALTH PLAN | |
| J06727 | Other | MEDICARE B | |
| 27032 | Other | HEALTHY START | |
| 300081204 | Other | RAILROAD MEDICARE | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 27032 | Other | CHILDRENS MEDICAL SECURIT | |
| AA2843 | Other | HARVARD PILGRIM HEALTHCAR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tverdi18408@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- tverdi18408@direct.atrius.masshiway.net
Organizations & group practices 2
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.
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- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1124070008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"address_2": "RADIOLOGY DEPT",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-421-1336",
"fax_number": "617-421-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"address_2": "RADIOLOGY DEPT",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-421-1336",
"fax_number": "617-421-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDI",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "58675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "3026272",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J06727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "J06727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J06727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3026272",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7384295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "7996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1150385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "1179211",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "J06727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "27032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300081204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "27032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2843",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tverdi18408@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "133 Brookline Ave",
"address_2": "Radiology Dept",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "022153904",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.