NPIMap

Individual provider Active NPI

Benjamin J. Swan, MD

  • Diagnostic Radiology Physician
  • Woburn, MA
National Provider Identifier
1851606420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2016-00101 Issued in NC
Practice address
200 Unicorn Park Dr Ste 402
Woburn, MA 01801-3342
Phone
(603) 943-5580
Fax
(603) 943-5580
NPI assigned
Aug 8, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2016-00101 NC Primary
Diagnostic Radiology Physician 2085R0202X 265484 MA

Addresses

Primary practice location

200 Unicorn Park Dr Ste 402
Woburn, MA 01801-3342

Mailing address

PO Box 6750
Portsmouth, NH 03802-6750
Phone (800) 208-7069

Other practice location 1

9050 Pines Blvd Ste 200
Pembroke Pines, FL 33024-6456
Phone (954) 437-4800 ext. 2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327000599 MA Practitioner - Diagnostic Radiology 5799076501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Radiological Associates IncGroup PAC ID 1153387675, 16 clinicians

Practice addresses (Care Compare)

200 Unicorn Park Dr
Woburn, MA 01801-3342

41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-2342

444 Washington St
Suite 100
Woburn, MA 01801-1072
Phone (781) 787-3003

500 Salem St
Wilmington, MA 01887-1200
Phone (978) 988-6020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265484MAMDDiagnostic Radiology Physician
2016-00101NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Massachusetts Regional MRI, Limited Partnership CurrentSince Jun 12, 2026 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Jun 12, 2026 Accepting new patients
Fall River-New Bedford Regional MRI, Limited Partnership CurrentSince Jun 12, 2026 Accepting new patients
Winchester Hospital - Shields MRI LLC CurrentSince Feb 24, 2020 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Jun 12, 2026 Accepting new patients
Winchester Hospital - Shields MRI LLC CurrentSince Mar 5, 2018 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Jun 12, 2026 Accepting new patients
Massachusetts Bay Regional MRI Limited Partnership CurrentSince Jun 12, 2026 Accepting new patients
North Shore Radiological Associates, Inc. Diagnostic Radiology CurrentSince Mar 15, 2018 Accepting new patients

Locations

265 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (800) 258-4574

200 Unicorn Park Dr
Ste 402
Woburn, MA 01801
Phone (603) 943-5580

444 Washington St
Ste 100
Woburn, MA 01801
Phone (781) 279-2158

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851606420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6750",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038026750",
            "telephone_number": "800-208-7069",
            "fax_number": "610-956-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR STE 402",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "603-943-5580",
            "fax_number": "603-943-5580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 Pines Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246456",
            "country_code": "US",
            "telephone_number": "954-437-4800 x2133",
            "fax_number": "954-437-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAN",
        "first_name": "BENJAMIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2016-00101",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "265484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.