Individual provider Active NPI

Margaret Pan, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1750888517
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
286307 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 726-2000
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 286307 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 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
I20230713002923 MA Practitioner - Diagnostic Radiology 8123488798 Reassigns benefits to 2 organizations
I20240903000421 TX Practitioner - Diagnostic Radiology 8123488798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4125 Cole Ave
Apt 11
Dallas, TX 75204-8253
Phone (800) 841-4236

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286307MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Aug 22, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 5, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 5, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 19, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2024 Accepting new patients
Blue Stone JV LLP CurrentSince Sep 5, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Sep 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 22, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 22, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 5, 2024 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Aug 20, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 22, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 1, 2024 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2023 Accepting new patients
Btdi JV, LLP CurrentSince Aug 6, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Sep 5, 2024 Accepting new patients
Btdi JV LLP CurrentSince Sep 5, 2024 Accepting new patients
Btdi JV LLP CurrentSince Aug 19, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

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

3500 Gaston Ave
Dallas, TX 75246

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Organizations & group practices 27

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 27

Hospital & facility affiliations 5

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1750888517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "286307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.