Individual provider Active NPI

Susan A Stafford, MD

  • Diagnostic Radiology Physician
  • Brockton, MA
National Provider Identifier
1649221862
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
053842 Issued in MA
Practice address
235 N Pearl St
Radiology Department
Brockton, MA 02301-1794
Phone
(508) 427-3106
Fax
(508) 427-2538
NPI assigned
May 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 053842 MA Primary

Addresses

Primary practice location

235 N Pearl St
Radiology Department
Brockton, MA 02301-1794

Mailing address

1227 Lowell Rd
Concord, MA 01742-5523
Phone (508) 427-3106

Other identifiers 1

IdentifierTypeStateIssuer
3007570MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000776 MA Practitioner - Diagnostic Radiology 3678564465 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053842MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
LGH Medical Group, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Aug 17, 2020 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Aug 17, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2015 Accepting new patients
Shields Imaging of Lowell General Hospital LLC CurrentSince Aug 17, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 15, 2019 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
LGH Professional Services LLC Past Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

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

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: sstafford28948@tuftsmedicine.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649221862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LOWELL RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017425523",
            "telephone_number": "508-427-3106",
            "fax_number": "508-427-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "508-427-3106",
            "fax_number": "508-427-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "053842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007570",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.