Individual provider Active NPI

Didem Inanoglu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Boston, MA
National Provider Identifier
1255324422
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
289964 Issued in MA
Practice address
30 Warren St
Boston, MA 02135-3602
Phone
(617) 254-3800
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L6955 TX
Physical Medicine & Rehabilitation Physician 208100000X 289964 MA Primary

Addresses

Primary practice location

30 Warren St
Boston, MA 02135-3602

Mailing address

55 Fruit St
Boston, MA 02114-2696

Other practice location 1

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040402000477 TX Practitioner - Physical Medicine and Rehabilitation 9739171299 Reassigns benefits to 1 organization
I20220316001408 MA Practitioner - Physical Medicine and Rehabilitation 9739171299 Reassigns benefits to 3 organizations
I20240104000667 ND Practitioner - Physical Medicine and Rehabilitation 9739171299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Nov 27, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince Nov 27, 2023 Accepting new patients
The General Hospital Corporation CurrentSince Mar 2, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 16, 2009 Accepting new patients
Massachusetts General Physicians Organization Inc Physical Medicine & Rehabilitation CurrentSince Mar 2, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 16, 2009 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Children'S Orthopaedic Surgery Foundation, Inc. CurrentSince Oct 24, 2023 Accepting new patients
The Spaulding Rehabilitation Hospital Corporation Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Franciscan Hospital for Children, Inc. Past Accepting new patients
Childrens Hospital Boston Past Accepting new patients
Rehabilitation Consultants of Texas, P.a. Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

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

55 Fruit St
Boston, MA 02114

300 1st Ave
Charlestown, MA 02129
Phone (617) 952-5000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

2655 Villa Creek Dr
Farmers Branch, TX 75234
Phone (214) 736-8376

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: inanoglu.didem.srh@direct.partners.masshiway.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1255324422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021353602",
            "telephone_number": "617-254-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INANOGLU",
        "first_name": "DIDEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L6955",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "289964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.