NPIMap

Individual provider Active NPI

Sibin M Thachet, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1457516270
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
237692 Issued in MA
Practice address
800 Washington Street
Box# 299
Boston, MA 02111
Phone
(617) 636-0067
Fax
(617) 636-0041
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 237692 MA Primary

Addresses

Primary practice location

800 Washington Street
Box# 299
Boston, MA 02111

Mailing address

320 Robinson Ave
Orange Radiology
Newburgh, NY 12550-3353
Phone (845) 565-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923000457 TX Practitioner - Diagnostic Radiology 8325202955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237692MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Blue Stone JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Jul 12, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Aug 6, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Jun 1, 2021 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Aug 6, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jun 1, 2021 Accepting new patients

Locations

665 NE Alsbury Blvd
Burleson, TX 76028
Phone (817) 447-3443

3500 Gaston Ave
Dallas, TX 75246

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Interoperability endpoints

  • Direct secure messaging: sthachet1789745@direct.texashealth.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1457516270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROBINSON AVE",
            "address_2": "ORANGE RADIOLOGY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503353",
            "telephone_number": "845-565-1254",
            "fax_number": "845-492-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET",
            "address_2": "BOX# 299",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-0067",
            "fax_number": "617-636-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACHET",
        "first_name": "SIBIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "237692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.