Boris Nikolic, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

52473 Issued in GA

Practice address

30 Locust St
Northampton, MA 01060-2052

Phone

(413) 582-2554

Fax

(413) 582-4779

NPI assigned

Aug 14, 2006

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, MA, GA, NY4 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 4

Specialty

Interventional Radiology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nyack Hospital Hospital, Nyack, NY, CCN 330104
• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208
• Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184
• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
• St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 33)

Interoperability endpoints

• Direct secure messaging: bnikolic439229@direct.emory.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783

  GA

  Medicare reassignment Care Compare group NPD
• Mass General Brigham Medical Group Western Massachusetts Inc

  • Family Medicine Physician
  • Northampton, MA
  • NPI 1295787919

  Vascular & Interventional Radiology

  Medicare reassignment NPD
• Pratt Radiology Associates, Inc

  dba Pratt Associates

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1154361780
  Medicare reassignment NPD
• Radiology Affiliates of Central New Jersey PC

  • Diagnostic Radiology Physician
  • Hamilton, NJ
  • NPI 1811994791

  Neuroradiology, NY

  Medicare reassignment NPD
• Radiology Associates of Wyoming Valley, Inc

  • Diagnostic Radiology Physician
  • Wilkes Barre, PA
  • NPI 1174528707

  Body Imaging, NY

  Medicare reassignment NPD
• Mass General Brigham Medical Group Western Massachusetts Inc

  dba Cooley Dickinson Medical Group

  • Psychiatry Physician
  • Northampton, MA
  • NPI 1942605373
  NPD (past)
• Allegheny Clinic Radiology

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1992183164
  NPD (past)
• Great Basin Imaging

  • Diagnostic Radiology Physician
  • Carson City, NV
  • NPI 1093747446
  NPD (past)
• Millennium Medical Imaging PC

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1235114182
  NPD (past)
• Northeast Imaging Associates of Philadelphia, P.C.

  • Diagnostic Ultrasound Physician
  • Philadelphia, PA
  • NPI 1982651923

  Body Imaging

  NPD (past)
• Northstar Imaging Inc

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1073777264
  NPD (past)
• Northstar Imaging Inc

  • Diagnostic Radiology Physician
  • Winnemucca, NV
  • NPI 1376628263
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  Care Compare affiliation
• Montefiore New Rochelle Hospital

  • General Acute Care Hospital
  • New Rochelle, NY
  • NPI 1720414154
  Care Compare affiliation
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  Care Compare affiliation
• St. Anthony Community Hospital

  • General Acute Care Hospital
  • Warwick, NY
  • NPI 1598755324
  Care Compare affiliation
• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1407869241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-582-2554",
            "fax_number": "413-582-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2554",
            "fax_number": "413-582-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLIC",
        "first_name": "BORIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "233982",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "233982",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MA",
            "license": "233982",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "233982",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "52473",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD429236",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "233982",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MA",
            "license": "233982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110072175A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Nicasio, DO
• Bridget Nichols
• Glynda Lee Nickerson, M.A., PHD. CAND.
• Lisa B Nicotera, D.C.
• Tom Nields-Duffy, MA
• Anne Niles
• Brendalee Nimtz
• Sukan Nip, D.D.S
• Margaret Njomo, MS
• Dorian Nnaji

• Diagnostic Radiology Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.