Individual provider Active NPI

Nicole Dray Horst, M.D.

  • Diagnostic Radiology Physician
  • Salem, MA
National Provider Identifier
1649406117
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
257905 Issued in MA
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 741-1200
Fax
(978) 740-4856
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 257905 MA Primary
Diagnostic Radiology Physician 2085R0202X MD31750 SC

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Other names 1

  • Dr. Nicole Dray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20140716000462 MA Practitioner - Diagnostic Radiology 4082842653 Reassigns benefits to 8 organizations
I20221110000600 NH Practitioner - Diagnostic Radiology 4082842653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, shared by 6 NPIs, 430 clinicians

Practice addresses (Care Compare)

1 Park Way
Haverhill, MA 01830-6278
Phone (978) 521-3210

10 Members Way
Dover, NH 03820-5933
Phone (603) 740-2250

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 740-2250

67 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 740-2250

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2250

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Nantucket Cottage Hospital Hospital, Nantucket, MA, CCN 220177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257905MAMDDiagnostic Radiology Physician
MD31750SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Oct 1, 2015 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Mar 1, 2016 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Oct 1, 2015 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2014 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 25, 2023 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

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

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

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

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

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

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

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

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: horst.nicole.mgh@direct.partners.masshiway.net
  • Direct secure messaging: nhorst28693@tuftsmedicine.direct-ci.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 7

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1649406117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200",
            "fax_number": "978-740-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-741-1200",
            "fax_number": "978-740-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "NICOLE",
        "middle_name": "DRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "257905",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD31750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DRAY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.