Individual provider Active NPI

Aiham Korbage, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1326286097
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MT192267 Issued in PA
Practice address
800 Washington Street Box 1013
Boston, MA 02111
Phone
(617) 636-5000
NPI assigned
Feb 3, 2009
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT192267 PA Primary

Addresses

Primary practice location

800 Washington Street Box 1013
Boston, MA 02111

Mailing address

800 Washington Street Box 1013
Boston, MA 02111
Phone (617) 636-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000132 MA Practitioner - Diagnostic Radiology 9436393469 Reassigns benefits to 7 organizations
I20250324000037 CT Practitioner - Diagnostic Radiology 9436393469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT192267PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Oct 1, 2013 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Franklin MRI Center LLC CurrentSince Jul 15, 2024 Accepting new patients
Baystate MRI & Imaging Center, LLC CurrentSince Jul 15, 2024 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 1, 2015 Accepting new patients
Radiology & Imaging Inc Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Franklin MRI Center LLC CurrentSince Jul 15, 2024 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 1, 2022 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Sep 1, 2015 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

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

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

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

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1326286097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET BOX 1013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET BOX 1013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBAGE",
        "first_name": "AIHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT192267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.