Active NPI
Chelsea MRI PC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Springfield, MA
National Provider Identifier
1376595470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- CHELSEA MRI PC
- Practice address
- 3640 Main St
Suite 101
Springfield, MA 01107-1145 - Phone
- (413) 781-9000
- Fax
- (413) 781-7988
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert A. Santamaria
- Title
- Chief Financial Officer
- Phone
- (781) 569-6541
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | MA | Primary | |
| Radiology Clinic/Center | 261QR0200X | MA |
Addresses
Primary practice location
3640 Main St
Suite 101
Springfield, MA 01107-1145
Mailing address
800 W Cummings Park
Suite 1350
Woburn, MA 01801-6372
Phone (781) 569-6541
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110028942/A | Medicaid | MA | |
| 110028942/D | Medicaid | MA | |
| M17165 | Other | MA | BC BS PROFESSIONAL # |
| 034869 | Other | MA | BC BS OF MA TECHNICAL # |
| 110028942/C | Medicaid | MA | |
| 110028942/B | Medicaid | MA |
Other names 1
- The MRI Center of Springfield
National Provider Directory
National Provider DirectoryLocations
100 Everett Ave
Ste 3
Chelsea, MA 02150
Phone (617) 884-5103
265 Benton Dr
Ste 10
East Longmeadow, MA 01028
Phone (413) 525-1192
400 Lowell Ave
Haverhill, MA 01832
Phone (978) 469-0400
3500 Main St
Springfield, MA 01107
Phone (413) 784-0900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Woburn, MA
- NPI 1255363842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308614400000",
"number": "1376595470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W CUMMINGS PARK",
"address_2": "SUITE 1350",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016372",
"telephone_number": "781-569-6541",
"fax_number": "781-569-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 101",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-781-9000",
"fax_number": "413-781-7988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHELSEA MRI PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2011-06-21",
"status": "A",
"authorized_official_last_name": "SANTAMARIA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "781-569-6541",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "MA",
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028942/A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028942/D",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROFESSIONAL #",
"identifier": "M17165",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MA TECHNICAL #",
"identifier": "034869",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028942/C",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110028942/B",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The MRI Center of Springfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.