NPIMap

Individual provider Active NPI

Itai Max Pashtan, M.D.

  • Radiation Oncology Physician
  • Boston, MA
National Provider Identifier
1346402682
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
246073 Issued in MA
Practice address
75 Francis St
L2
Boston, MA 02115-6110
Phone
(617) 732-6230
Fax
(617) 582-6037
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Radiation Oncology Physician 2085R0001X 246073 MA Primary

Addresses

Primary practice location

75 Francis St
L2
Boston, MA 02115-6110

Mailing address

75 Francis St
L2
Boston, MA 02115-6110
Phone (617) 732-6230

Other identifiers 1

IdentifierTypeStateIssuer
125054409OtherILILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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
I20130916000266 MA Practitioner - Radiation Oncology 2668638560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Chicago, Pritzker School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Columbian St
South Weymouth, MA 02190-1601
Phone (781) 340-8000

450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-3586

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital General Acute Care Hospital Current Accepting new patients
Dana-Farber Cancer Institute, Inc. General Acute Care Hospital CurrentSince Aug 15, 2013 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Aug 15, 2013 Accepting new patients
Radiation Therapy of Southeastern Mass, LLC CurrentSince Oct 31, 2014 Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

75 Francis St
#L2
Boston, MA 02115
Phone (617) 732-6310

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

89 Forbes Blvd
Mansfield, MA 02048
Phone (857) 307-3700

101 Columbian St
Weymouth, MA 02190
Phone (781) 624-4800

Interoperability endpoints

  • Direct secure messaging: pashtan.itai.bwh@direct.partners.masshiway.net

Organizations & group practices 7

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1346402682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "L2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6230",
            "fax_number": "617-582-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "L2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6230",
            "fax_number": "617-582-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASHTAN",
        "first_name": "ITAI",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "246073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "125054409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.