Individual provider Active NPI

Dianne Georgian-Smith, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1134100043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
210677 Issued in MA
Practice address
55 Fruit St
FND 2 Radiological Associates
Boston, MA 02114-2696
Phone
(617) 726-3094
Fax
(617) 726-1074
NPI assigned
Nov 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 210677 MA Primary

Addresses

Primary practice location

55 Fruit St
FND 2 Radiological Associates
Boston, MA 02114-2696

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 724-0287

Other identifiers 3

IdentifierTypeStateIssuer
J23454OtherMABCBS MA
210627OtherMATUFTS HEALTH PLAN
0136841MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070427000391 MA Practitioner - Diagnostic Radiology 8527164144 Reassigns benefits to 4 organizations
I20191216001566 FL Practitioner - Diagnostic Radiology 8527164144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

12989 Southern Blvd
Suite 101
Loxahatchee, FL 33470-9205
Phone (904) 399-5550

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

4685 S Congress Ave
Suite 200
Palm Springs, FL 33461-4761
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210477MAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Sep 30, 2025 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Neighborhealth Corporation CurrentSince Feb 1, 2014 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Feb 1, 2014 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

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

75 Francis St
Boston, MA 02115

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

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, 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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134100043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "FND 2 RADIOLOGICAL ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-3094",
            "fax_number": "617-726-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIAN-SMITH",
        "first_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "210677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J23454",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "210627",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.