NPIMap

Individual provider Active NPI

Samuel David Madoff, MD

  • Diagnostic Radiology Physician
  • Roxbury Crossing, MA
National Provider Identifier
1871517128
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
240029 Issued in MA
Practice address
125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847
Phone
(617) 754-6687
NPI assigned
Jul 27, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 240029 MA Primary

Addresses

Primary practice location

125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847

Mailing address

15 Garrison Rd
Brookline, MA 02445-4426
Phone (424) 298-0021

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
I20090825000394 MA Practitioner - Diagnostic Radiology 4082768171 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neb Radiology PCGroup PAC ID 8325008972, 11 clinicians
Chelmsford MRI PCGroup PAC ID 9537118609, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

1 Orthopedics Dr
Peabody, MA 01960-1668
Phone (978) 818-6350

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-6687

187 Billerica Rd
Chelmsford, MA 01824-3616
Phone (978) 250-1866

3640 Main St
Suite 101
Springfield, MA 01107-1139
Phone (413) 781-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240029MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neb Radiology PC Diagnostic Radiology CurrentSince Jul 20, 2009 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Orthopaedic Surgical Associates of Lowell, P.C. Current Accepting new patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc CurrentSince Apr 15, 2018 Accepting new patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. CurrentSince Apr 15, 2018 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Mar 31, 2017 Accepting new patients
James V. Bono, MD, PC Past Accepting new patients
Thomas a. Lamattina MD PC Past Accepting new patients

Locations

187 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-1866

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

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

Interoperability endpoints

  • Direct secure messaging: smadoff333702@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1871517128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GARRISON RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454426",
            "telephone_number": "424-298-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOFF",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "240029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

Verify at the official NPI Registry.