Active NPI
Dianne Georgian-Smith, MD
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 210677
- 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, 2007
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J23454 | Other | MA | BCBS MA |
| 210627 | Other | MA | TUFTS HEALTH PLAN |
| 0136841 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 210477 | MA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | 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 | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | 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.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
dba Physicians Diagnostics
- Clinical Medical Laboratory
- South Weymouth, MA
- NPI 1396942926
-
dba Physician Diagnostics
- Diagnostic Radiology Physician
- S Weymouth, MA
- NPI 1689909723
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1407809395
-
- Diagnostic Radiology Physician
- Sanford, FL
- NPI 1487708814
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba HCA Florida JFK Hospital
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba HCA Florida Raulerson Hospital
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
-
dba HCA Florida Palms West Hospital
- General Acute Care Hospital
- Loxahatchee, FL
- NPI 1528014669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.