Individual provider Active NPI

Karl Benjamin Coyner, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1609861418
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
211721 Issued in MA
Practice address
75 Francis St
Radiology, Brigham and Women'S Hospital
Boston, MA 02115-6110
Phone
(617) 732-6291
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 211721 MA
Diagnostic Radiology Physician 2085R0202X 211721 MA Primary

Addresses

Primary practice location

75 Francis St
Radiology, Brigham and Women'S Hospital
Boston, MA 02115-6110

Mailing address

75 Francis St
Radiology, Brigham and Women'S Hospital
Boston, MA 02115-6110
Phone (617) 732-6291

Other practice location 1

55 Lake Ave North
Worcester, MA 01655-0002
Phone (508) 334-3850

Other identifiers 4

IdentifierTypeStateIssuer
0182320MedicaidMA
211721OtherMATUFTS HEALTH CARE
H71166OtherMAHARVARD PILGRIM HEALTH
J25709OtherMABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040504001234 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8921096322 Reassigns benefits to 10 organizations
I20250929002262 NJ Practitioner - Diagnostic Radiology 8921096322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211721MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Current Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Feb 1, 2017 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Sep 1, 2014 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Nov 10, 2002 Accepting new patients
Saint Barnabas Outpatient Centers CurrentSince Sep 3, 2025 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Dec 1, 2012 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC CurrentSince Jul 17, 2025 Accepting new patients
Metrowest Imaging Center LLC CurrentSince Nov 15, 2023 Accepting new patients
Saint Vincent Radiological Associates Inc Nuclear Medicine CurrentSince Oct 23, 2023 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Nov 10, 2002 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

75 Francis St
Boston, MA 02115

800 Washington St
#1
Boston, MA 02111

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5000

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

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

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

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1609861418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave North",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNER",
        "first_name": "KARL",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MA",
            "license": "211721",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "211721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182320",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "211721",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "H71166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J25709",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.