Active NPI
James M Snider, MD
- Diagnostic Radiology Physician
- Wellesley Hills, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 58519
- Practice address
- 165 Worcester St
Wellesley Hills, MA 02481-3615 - Phone
- (617) 553-5300
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 58519 | MA | Primary |
Addresses
Primary practice location
165 Worcester St
Wellesley Hills, MA 02481-3615
Mailing address
PO Box 9135
Brookline, MA 02446-9135
Phone (603) 893-9784
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107905 | Medicaid | MA | |
| 041937 | Other | MA | TUFTS |
| E05247 | Other | MA | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Rochester School of Medicine and Dentistry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
145 S St
Boston, MA 02111-2826
Phone (617) 521-6700
165 Worcester St
Wellesley, MA 02481-3615
Phone (617) 553-5300
88 Holmes St
Quincy, MA 02171-2431
Phone (617) 318-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58519 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Cove Community Health Center, Inc. | Current | Accepting new patients | |
| Advantage Imaging Solutions, LLC | Current | Accepting new patients | |
| South Cove Community Health Center, Inc. | Current | Accepting new patients | |
| Breast Imaging Physicians PC | Diagnostic Radiology | Current | Accepting new patients |
Locations
145 South St
Boston, MA 02111
Phone (617) 521-6700
165 Worcester St
Wellesley Hls, MA 02481
Phone (617) 553-5300
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Wellesley Hills, MA
- NPI 1891021085
-
- Federally Qualified Health Center (FQHC)
- Boston, MA
- NPI 1700801263
-
- Sonography Radiologic Technologist
- Quincy, MA
- NPI 1558667733
-
- Community/Retail Pharmacy
- Boston, MA
- NPI 1235985193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1750351391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9135",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469135",
"telephone_number": "603-893-9784",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WORCESTER ST",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024813615",
"telephone_number": "617-553-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "58519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107905",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "041937",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "E05247",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.