Individual provider Active NPI

Kristopher Daley, M.D.

  • Vascular & Interventional Radiology Physician
  • Providence, RI
National Provider Identifier
1760642011
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
13441 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5184
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236538 MA
Diagnostic Radiology Physician 2085R0202X MD13341 RI
Vascular & Interventional Radiology Physician 2085R0204X 13441 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000081 MA Practitioner - Diagnostic Radiology 7315189396 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Radiology-Cra LLCGroup PAC ID 8426287269, 60 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 934-8237

10 Research PL
North Chelmsford, MA 01863-2456
Phone (978) 937-6240

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 937-6240

198 Littleton Rd
Westford, MA 01886-3408
Phone (978) 937-6240

199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 937-6240

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6240

354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 937-6240

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

LicenseStateTypeSpecialty
236538MAMDInternal Medicine Physician
MD13341RIMDDiagnostic Radiology Physician
13441RIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jan 20, 2015 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Mass General Brigham Community Physicians Inc. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jan 20, 2015 Accepting new patients
LGH Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Jan 5, 2023 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Oct 1, 2015 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology Past Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

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

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

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

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

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

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

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1760642011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-432-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "KRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "236538",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD13341",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "RI",
            "license": "13441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.