Active NPI
Gerald Kolodny
- Nuclear Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 27887
- Practice address
- 330 Brookline Ave
Div. Nuclear Medicine, Beth Israel Deaconess Medical CT
Boston, MA 02215-5400 - Phone
- (617) 667-5252
- NPI assigned
- May 19, 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 27887 | MA | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 27887 | MA | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 27887 | MA | |
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | 27887 | MD | |
| Body Imaging Physician | 2085B0100X | 27887 | MA | |
| Neuroradiology Physician | 2085N0700X | 27887 | MA | |
| Nuclear Radiology Physician | 2085N0904X | 27887 | MA | |
| Pediatric Radiology Physician | 2085P0229X | 27887 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 27887 | MA | |
| Radiological Physics Physician | 2085R0205X | 27887 | MA |
Addresses
Primary practice location
330 Brookline Ave
Div. Nuclear Medicine, Beth Israel Deaconess Medical CT
Boston, MA 02215-5400
Mailing address
330 Brookline Ave
Boston, MA 02215-5400
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27887 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Diagnostic Radiology | Current | Accepting new patients |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Body Imaging | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Boston Podiatry Services PC | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Bih Radiologic Foundation Inc | Body Imaging | Past | Accepting new patients |
Locations
330 Brookline Ave
#B
Boston, MA 02215
Phone (617) 667-0162
330 Brookline Ave
#72
Boston, MA 02215
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
Interoperability endpoints
- gkolodny254355@direct.bilh.masshiway.net
Organizations & group practices 11
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
- Milton, MA
- NPI 1245773308
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Podiatrist
- Rockland, MA
- NPI 1649358193
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Psychiatry Physician
- Boston, MA
- NPI 1770524373
-
- Body Imaging Physician
- Boston, MA
- NPI 1356377493
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1972544591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1801840673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"address_2": "DIV. NUCLEAR MEDICINE, BETH ISRAEL DEACONESS MEDICAL CT",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155400",
"telephone_number": "617-667-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLODNY",
"first_name": "GERALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MA",
"license": "27887",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "MD",
"license": "27887",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "27887",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "MA",
"license": "27887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.