Active NPI
Riverside Radiology Medical Group, Inc.
- Diagnostic Radiology Physician
- Franklin, MA
National Provider Identifier
1669772448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
- Practice address
- 1 Meadowbrook Rd
Franklin, MA 02038-1133 - Phone
- (559) 455-4041
- NPI assigned
- Oct 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald R. Massee
- Title
- Secretary
- Phone
- (951) 781-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1 Meadowbrook Rd
Franklin, MA 02038-1133
Mailing address
PO Box 15648
Sacramento, CA 95852-0648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110210000741 | MA | Part B Supplier - Clinic/Group Practice | 2365412327 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Concord, MA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Diagnostic Radiology Physician
- Riverside, CA
- NPI 1699776526
O20110210000741
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-myrecord.cerner.com/r4/TtBa6m0CO2ykz03C9oGIAfs1lSi1ZBkp/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1669772448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15648",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958520648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEADOWBROOK RD",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020381133",
"telephone_number": "559-455-4041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "MASSEE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "951-781-2273"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.