Individual provider Active NPI

Mohammadali Mojarrad, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1487035887
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
282631 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-5500
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD15971 RI
Diagnostic Radiology Physician 2085R0202X LP03708 RI
Diagnostic Radiology Physician 2085R0202X 036157165 IL
Diagnostic Radiology Physician 2085R0202X 2021033199 MO
Diagnostic Radiology Physician 2085R0202X 282631 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Other names 1

  • Mohammad Ali Mojarrad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IL, MO, VA, DC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200604003135 MA Practitioner - Diagnostic Radiology 9931494069 Reassigns benefits to 3 organizations
I20210908003560 IL Practitioner - Diagnostic Radiology 9931494069 Reassigns benefits to 6 organizations
I20230110001720 MO Practitioner - Diagnostic Radiology 9931494069 Reassigns benefits to 1 organization
I20260324004050 VA Practitioner - Diagnostic Radiology 9931494069 Reassigns benefits to 1 organization
I20260402002302 DC Practitioner - Diagnostic Radiology 9931494069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

Newbury, MA 01951
Phone (309) 671-8282

Bethesda, MD 20817
Phone (309) 671-8282

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1005 Broadway St
Quincy, IL 62301-2834
Phone (309) 671-8282

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (309) 671-8282

1900 State St
Chester, IL 62233-1116
Phone (309) 671-8282

26 E W Elm St
Albion, IL 62806-1017
Phone (309) 671-8282

3333 W Deyoung St
Marion, IL 62959-5884
Phone (309) 671-8282

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

4800 Maine St
Quincy, IL 62305-5875
Phone (309) 671-8282

5641 Blackwater Rd
Virginia Beach, VA 23457-1151
Phone (309) 671-8282

600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282

640 W Washington St
Pittsfield, IL 62363-1350
Phone (309) 671-8282

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (309) 671-8282

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036157165ILMDDiagnostic Radiology Physician
282631MAMDDiagnostic Radiology Physician
2021033199MOMDDiagnostic Radiology Physician
MD15971RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District CurrentSince Feb 5, 2026 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 6, 2026 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2020 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Jan 6, 2026 Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jan 6, 2026 Accepting new patients
Crawford Hospital District CurrentSince Feb 5, 2026 Accepting new patients
Blessing Hospital CurrentSince Dec 1, 2022 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Jul 1, 2020 Accepting new patients
St Paul Place Specialists Inc Diagnostic Radiology PastSince Jan 11, 2022 Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

1005 Broadway St
Quincy, IL 62301

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

101 Medical Dr
Hannibal, MO 63401

100 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 17

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 17

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1487035887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJARRAD",
        "first_name": "MOHAMMADALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD15971",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "LP03708",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157165",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021033199",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "282631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "MOJARRAD",
            "middle_name": "ALI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.