Organization Active NPI

Boston Ultrasound Consultants PC

  • Diagnostic Radiology Physician
  • Brookline, MA
National Provider Identifier
1508975657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BOSTON ULTRASOUND CONSULTANTS PC
Practice address
55 Pond Ave
Suite 201E
Brookline, MA 02445-7170
Phone
(617) 232-4600
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michele E Taillon
Title
Billing Manager
Phone
(617) 232-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

55 Pond Ave
Suite 201E
Brookline, MA 02445-7170

Mailing address

55 Pond Ave
Suite 201E
Brookline, MA 02445-7170
Phone (617) 232-4600

Other identifiers 6

IdentifierTypeStateIssuer
M14961OtherMABLUE CROSS BLUE SHIELD
1600064OtherMAUNITED HEALTHCARE
9760431MedicaidMA
0007192OtherMANEIGHBORHOOD HEALTH
711720OtherMATUFTS HEALTHPLAN
602943OtherMAHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

55 Pond Ave
Ste 201E
Brookline, MA 02445
Phone (617) 232-4600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508975657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 POND AVE",
            "address_2": "SUITE 201E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457170",
            "telephone_number": "617-232-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POND AVE",
            "address_2": "SUITE 201E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457170",
            "telephone_number": "617-232-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON ULTRASOUND CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAILLON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "617-232-4600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M14961",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1600064",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9760431",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0007192",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHPLAN",
            "identifier": "711720",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "602943",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.