Individual provider Active NPI

Gerald Kolodny

  • Nuclear Medicine Physician
  • Boston, MA
National Provider Identifier
1801840673
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
27887 Issued in MA
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

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000583 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2769423227 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27887MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Body Imaging CurrentSince Jan 1, 2008 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2021 Accepting new patients
Boston Podiatry Services PC Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.