Individual provider Active NPI

David Webster Allen, MD

  • Vascular & Interventional Radiology Physician
  • West Roxbury, MA
National Provider Identifier
1740496306
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
246644 Issued in MA
Practice address
VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132
Phone
(857) 203-5745
Fax
(914) 493-7561
NPI assigned
May 14, 2007
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 248864 NY
Vascular & Interventional Radiology Physician 2085R0204X 246644 MA Primary

Addresses

Primary practice location

VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132

Mailing address

VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132
Phone (857) 203-5745

Other practice location 1

95 Grasslands Rd
Westchester Medical Center Dept of Radiology VIR
Valhalla, NY 10595
Phone (914) 493-7816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: dallen29826@tuftsmedicine.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1740496306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA WEST ROXBURY",
            "address_2": "1400 VFW PKWY DEPARTMENT OF RADIOLOGY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-5745",
            "fax_number": "914-493-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA WEST ROXBURY",
            "address_2": "1400 VFW PKWY DEPARTMENT OF RADIOLOGY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-5745",
            "fax_number": "914-493-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Grasslands Rd",
            "address_2": "Westchester Medical Center Dept of Radiology VIR",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "10595",
            "country_code": "US",
            "telephone_number": "914-493-7816",
            "fax_number": "914-493-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "WEBSTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "248864",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "246644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.