Active NPI
Shital Makim, MD
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 237359
- Practice address
- 800 Washington St
Boston, MA 02111-1552 - Phone
- (617) 636-5000
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 125-05-1880 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 237359 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Boston, MA 02111-1552
Mailing address
30, Cambridgepark Drive
Apt 8127
Cambridge, MA 02140
Phone (847) 343-4361
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Newton, MA 02460-1203
Phone (617) 643-0030
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 354-4181
102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181
15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (781) 826-8065
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909
200 Route 108
Somersworth, NH 03878-1119
Phone (603) 740-2250
30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100
4 Centennial Dr
Peabody, MA 01960-7935
Phone (978) 354-4181
480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
- Wentworth-Douglass Hospital
- Cooley Dickinson Hospital Inc,the
- Brigham and Women'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237359 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| TMC Radiology Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| The General Hospital Corporation | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
75 Francis St
Boston, MA 02115
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Interoperability endpoints
- makim.shital.nsmc@direct.partners.masshiway.net
Organizations & group practices 12
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.
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1851046726
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1639122096
-
- Diagnostic Radiology Physician
- S. Weymouth, MA
- NPI 1689909723
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1396918496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30, CAMBRIDGEPARK DRIVE",
"address_2": "APT 8127",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "847-343-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5000"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKIM",
"first_name": "SHITAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "125-05-1880",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "237359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.