NPIMap

Individual provider Active NPI

Alexi Otrakji, MD

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1255817433
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
70 Francis St
Boston, MA 02115-6134
Phone
(617) 525-8951
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

70 Francis St
Boston, MA 02115-6134

Mailing address

70 Francis St
Boston, MA 02115-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701002051 MA Practitioner - Interventional Radiology 6800147869 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians
MW Radiology-Cra LLCGroup PAC ID 6406270040, 40 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8237

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 937-6240

198 Littleton Rd
Westford, MA 01886-3408
Phone (978) 937-6240

199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 937-6240

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 937-6240

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 31, 2022 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 31, 2022 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Merrimack Radiology-Cra LLC CurrentSince Jul 1, 2022 Accepting new patients
Pratt Radiology Associates, Inc CurrentSince May 18, 2022 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jan 1, 2023 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Jul 31, 2022 Accepting new patients
TMC Radiology Cra LLC CurrentSince Jul 1, 2022 Accepting new patients
Southcoast Hospitals Group, Inc Current Accepting new patients
MW Radiology-Cra LLC CurrentSince Jul 1, 2022 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1255817433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156134",
            "telephone_number": "617-525-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTRAKJI",
        "first_name": "ALEXI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.