Active NPI
Pamela L Mok, MD
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 80178
- Practice address
- 133 Brookline Ave
Boston, MA 02215-3904 - Phone
- (617) 421-1336
- Fax
- (617) 421-1359
- NPI assigned
- Jan 4, 2006
- Last updated
- Mar 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 80178 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 80178 | MA | Primary |
Addresses
Primary practice location
133 Brookline Ave
Boston, MA 02215-3904
Mailing address
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3157407 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmokmd67059@direct.atrius.masshiway.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Harvard Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400
1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500
21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700
40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Body Imaging | Current | Accepting new patients |
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| Newton Wellesley Radiology Assoc | Body Imaging | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
24 Newton St
Southborough, MA 01772
Phone (508) 460-3190
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Medford, MA
- NPI 1447464102
Body Imaging
-
- Diagnostic Radiology Physician
- Newton, MA
- NPI 1043298821
Body Imaging
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1134107733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"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",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "617-421-1336",
"fax_number": "617-421-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOK",
"first_name": "PAMELA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MA",
"license": "80178",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "80178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3157407",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmokmd67059@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "133 Brookline Ave",
"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.
- 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.