NPIMap

Individual provider Active NPI

Ilana Simone Warsofsky, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1508188228
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
243358 Issued in MA
Practice address
133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904
Phone
(617) 421-1000
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 243358 MA Primary

Addresses

Primary practice location

133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904

Mailing address

133 Brookline Ave
Radiology Dept
Boston, MA 02215-3904
Phone (617) 421-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111107000718 MA Practitioner - Diagnostic Radiology 4284807215 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

850 Boylston St
Chestnut Hill, MA 02467-2477
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243358MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince Mar 15, 2018 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
The McLean Hospital Corporation CurrentSince Sep 1, 2015 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Apr 1, 2018 Accepting new patients
President and Fellows of Harvard College CurrentSince Sep 17, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 6, 2015 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Sep 1, 2015 Accepting new patients
President & Fellows of Harvard College CurrentSince Sep 17, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 6, 2015 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Diagnostic Radiology Past Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

75 Francis St
#360U2
Boston, MA 02115

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Francis St
Boston, MA 02115

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

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

20 Patriot Pl
Foxborough, MA 02035
Phone (508) 718-4000

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

541 Main St
Ste 120
Weymouth, MA 02190
Phone (781) 952-1526

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

Interoperability endpoints

  • Direct secure messaging: warsofsky.ilana.bwh@direct.partners.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1508188228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BROOKLINE AVE",
            "address_2": "RADIOLOGY DEPT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153904",
            "telephone_number": "617-421-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BROOKLINE AVE",
            "address_2": "RADIOLOGY DEPT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153904",
            "telephone_number": "617-421-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSOFSKY",
        "first_name": "ILANA",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "243358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.