Active NPI
Joan K Rastegar, MD
- Diagnostic Radiology Physician
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 81277
- Practice address
- 2014 Washington St
Newton Wellesley Radiology Associates
Newton, MA 02462 - Phone
- (617) 243-6600
- NPI assigned
- Jan 3, 2006
- 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 |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 81277 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 81277 | MA | Primary |
Addresses
Primary practice location
2014 Washington St
Newton Wellesley Radiology Associates
Newton, MA 02462
Mailing address
PO Box 417400
Newton Wellesley Radiology Associates
Boston, MA 02241-0001
Phone (800) 360-4391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J18427 | Other | MA | BCBS |
| 3171400 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Harvard Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 Washington St
Boston, MA 02111-1552
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81277 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| TMC Radiology Cra LLC | Diagnostic Radiology | Current | Accepting new patients |
| Newton-Wellesley Hospital | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
75 Francis St
Boston, MA 02115
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
9 Hope Ave
Waltham, MA 02453
Phone (617) 243-5590
Interoperability endpoints
- jrastegar29982@tuftsmedicine.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1851046726
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1467430256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417400",
"address_2": "NEWTON WELLESLEY RADIOLOGY ASSOCIATES",
"city": "BOSTON",
"state": "MA",
"postal_code": "022410001",
"telephone_number": "800-360-4391",
"fax_number": "770-776-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WASHINGTON ST",
"address_2": "NEWTON WELLESLEY RADIOLOGY ASSOCIATES",
"city": "NEWTON",
"state": "MA",
"postal_code": "02462",
"telephone_number": "617-243-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTEGAR",
"first_name": "JOAN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MA",
"license": "81277",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "81277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J18427",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3171400",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.