Individual provider Active NPI

Kamran Masood, M.D

  • Diagnostic Radiology Physician
  • Brockton, MA
National Provider Identifier
1225525934
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1018071 Issued in MA
Practice address
265 Westgate Dr
Brockton, MA 02301-1817
Phone
(800) 258-4674
NPI assigned
Apr 18, 2018
Reactivated
Feb 6, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shields Radiology Associates 16 clinicians

Practice addresses (Care Compare)

265 Westgate Dr
Suite 2
Brockton, MA 02301-1817
Phone (800) 258-4674

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240809000903 MA Practitioner - Diagnostic Radiology 3476804899 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Sep 1, 2024 Accepting new patients
South Shore MRI, Limited Partnership Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Fall River-New Bedford Regional MRI, Limited Partnership CurrentSince Sep 1, 2024 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Sep 1, 2024 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Shields MRI of Framingham, LLC CurrentSince Sep 1, 2024 Accepting new patients
Shields Pet CT at Cooley Dickinson Hospital LLC CurrentSince Sep 1, 2024 Accepting new patients
Shields Imaging at Heywood Healthcare LLC CurrentSince Sep 1, 2024 Accepting new patients
Southeastern Massachusetts Regional MRI, Limited Partnership CurrentSince Sep 1, 2024 Accepting new patients
Shields Radiology Associates Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Sep 1, 2024 Accepting new patients
Shields Radiology Associates, P.C. Diagnostic Radiology PastSince Aug 1, 2024 Accepting new patients

Locations

265 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (800) 258-4574

265 Westgate Dr
Brockton, MA 02301
Phone (508) 580-6482

10 Little Brook Rd
West Wareham, MA 02576

214 Shrewsbury St
Worcester, MA 01604
Phone (508) 756-7300

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 1018071 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

265 Westgate Dr
Brockton, MA 02301-1817

Mailing address

265 Westgate Dr
Brockton, MA 02301-1817
Phone (800) 258-4674

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2024.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1225525934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011817",
            "telephone_number": "800-258-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011817",
            "telephone_number": "800-258-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "KAMRAN",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "deactivation_date": "2018-11-28",
        "reactivation_date": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1018071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.