Active NPI
Michael Roux, M.D.
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 281142
- Practice address
- 840 Harrison Ave
Boston, MA 02118 - Phone
- (617) 638-6610
- NPI assigned
- May 31, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT204249 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 281142 | MA | Primary |
Addresses
Primary practice location
840 Harrison Ave
Boston, MA 02118
Mailing address
720 Harrison Ave # Dob503
Boston, MA 02118-2371
Phone (617) 414-5405
Other practice location 1
1255 S Cedar Crest Blvd Ste 3200
Allentown, PA 18103-6232
Phone (610) 402-1364
Other practice location 2
820 Harrison Ave Bldg 3
Boston, MA 02118-2905
Phone (617) 414-5135
Other practice location 3
820 Harrison Ave Bldg 3
Boston, MA 02118-2905
Phone (617) 414-5135
Other practice location 4
1255 S Cedar Crest Blvd Ste 3200
Allentown, PA 18103-6232
Phone (610) 402-1364
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
- New York Medical College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT204249 | PA | MD | Internal Medicine Physician |
| 281142 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Shields Imaging of Lowell General Hospital LLC | Current | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Shields Imaging of Lowell General Hospital LLC | Current | Accepting new patients | |
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| TMC Radiology Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Merrimack Radiology-Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Neighborhealth Corporation | Current | Accepting new patients | |
| MW Radiology-Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Shields Imaging of Lowell General Hospital LLC | Current | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lowell, MA
- NPI 1275871154
-
- Diagnostic Radiology Physician
- Melrose, MA
- NPI 1114555398
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1851046726
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lowell, MA
- NPI 1235414368
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- N Chelmsford, MA
- NPI 1306121439
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lowell, MA
- NPI 1366871469
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1285071142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE # DOB503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6610"
}
],
"practiceLocations": [
{
"address_1": "1255 S Cedar Crest Blvd Ste 3200",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036232",
"country_code": "US",
"telephone_number": "610-402-1364",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Harrison Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-414-5135",
"fax_number": "617-638-6616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Harrison Ave Bldg 3",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-414-5135",
"fax_number": "617-638-6616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 S Cedar Crest Blvd Ste 3200",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036232",
"country_code": "US",
"telephone_number": "610-402-1364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUX",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT204249",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "281142",
"primary": true
}
],
"identifiers": [],
"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 Sep 13, 2019; 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.