Active NPI
Metrowest Radiology Associates, Inc
- Diagnostic Radiology Physician
- Framingham, MA
National Provider Identifier
1396883641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- METROWEST RADIOLOGY ASSOCIATES, INC
- Practice address
- 115 Lincoln St
Framingham, MA 01702-6358 - Phone
- (508) 383-1335
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Neil Grossman, M.D.
- Title
- President
- Phone
- (508) 383-1335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1497161269
Diagnostic Radiology, MA
-
- Vascular & Interventional Radiology Physician
- Boston, MA
- NPI 1366437170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727001151 | MA | Part B Supplier - Clinic/Group Practice | 5597735688 |
Receives reassigned benefits from 10 practitioners Practice locations: Natick, MA; Medway, MA; Holbrook, MA; Framingham, MA |
National Provider Directory
National Provider DirectoryLocations
297 Union Ave
Ste 2
Framingham, MA 01702
Phone (508) 665-4390
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 Lincoln St
Framingham, MA 01702-6358
Mailing address
115 Lincoln St
Framingham, MA 01702-6358
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| M15745 | Other | MA | MA BCBS - GROUP |
| 9770526 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396883641",
"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"
},
{
"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": "508-383-1335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROWEST RADIOLOGY ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-383-1335",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BCBS - GROUP",
"identifier": "M15745",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9770526",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.