Organization Active NPI

Ultra Diagnostics Incorporated

  • Sonography Radiologic Technologist
  • Hingham, MA
National Provider Identifier
1588747356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
ULTRA DIAGNOSTICS INCORPORATED
Practice address
180 Gardner St
Hingham, MA 02043-3746
Phone
(781) 749-8495
Fax
(781) 749-6345
NPI assigned
Oct 23, 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
Kimberly Guiney Cobb, BA, MBA
Title
Director of Operations
Phone
(781) 749-8495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

180 Gardner St
Hingham, MA 02043-3746

Mailing address

180 Gardner St
Hingham, MA 02043-3746
Phone (781) 749-8495

Other identifiers 2

IdentifierTypeStateIssuer
021869OtherMABLUE CROSS/ BLUE SHIELD
820844OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050209000312 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749231595 Practice locations: Hingham, MA

National Provider Directory

National Provider Directory

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588747356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GARDNER ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433746",
            "telephone_number": "781-749-8495",
            "fax_number": "781-749-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GARDNER ST",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433746",
            "telephone_number": "781-749-8495",
            "fax_number": "781-749-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DIAGNOSTICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GUINEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "781-749-8495",
        "authorized_official_credential": "BA, MBA"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "021869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "820844",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.