Individual provider Active NPI

Amogh Srivastava, MD

  • Diagnostic Radiology Physician
  • Framingham, MA
National Provider Identifier
1386873008
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
263065 Issued in MA
Practice address
115 Lincoln St
Framingham, MA 01702-6358
Phone
(508) 383-1300
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14568 RI
Diagnostic Radiology Physician 2085R0202X 263065 MA Primary

Addresses

Primary practice location

115 Lincoln St
Framingham, MA 01702-6358

Mailing address

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20140729000658 RI Practitioner - Diagnostic Radiology 3779709787 Reassigns benefits to 1 organization
I20150722005599 MA Practitioner - Diagnostic Radiology 3779709787 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Radiology IncGroup PAC ID 9931404084, 22 clinicians

Practice addresses (Care Compare)

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-7136

672 Aquidneck Ave
Middletown, RI 02842-5795
Phone (508) 961-5856

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14568RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Boston Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Sep 15, 2018 Accepting new patients
Metrowest Imaging Center LLC CurrentSince Jun 22, 2015 Accepting new patients
Gbgastro LLC CurrentSince Jan 1, 2018 Accepting new patients
Southern New England Radiology Inc Diagnostic Radiology CurrentSince Apr 30, 2022 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jan 31, 2023 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jan 31, 2023 Accepting new patients

Locations

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

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

475 Franklin St
Ste 110
Framingham, MA 01702
Phone (508) 620-9200

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

321 Fortune Blvd
Milford, MA 01757
Phone (508) 478-5996

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

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

300B Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-1020

672 Aquidneck Ave
Middletown, RI 02842
Phone (401) 847-0519

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

Interoperability endpoints

  • Direct secure messaging: asrivastava63548@direct.southcoast.org

Organizations & group practices 8

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 2

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1386873008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "508-383-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358",
            "telephone_number": "508-383-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "AMOGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "14568",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "263065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.