Organization Active NPI

Breast Imaging Physicians PC

  • Diagnostic Radiology Physician
  • Wellesley Hills, MA
National Provider Identifier
1891021085
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BREAST IMAGING PHYSICIANS PC
Practice address
165 Worcester St
Wellesley Hills, MA 02481-3615
Phone
(800) 927-0002
Fax
(603) 893-8886
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Elsie Levin, MDNPI 1447236161
Title
President
Phone
(800) 927-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MA Primary

Addresses

Primary practice location

165 Worcester St
Wellesley Hills, MA 02481-3615

Mailing address

PO Box 9135
Brookline, MA 02446-9135
Phone (603) 890-4404

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidMA
PENDINGOtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091210000732 MA Part B Supplier - Clinic/Group Practice 5698815355 Receives reassigned benefits from 4 practitioners
Practice locations: Quincy, MA; Wellesley Hills, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1891021085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469135",
            "telephone_number": "603-890-4404",
            "fax_number": "603-893-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WORCESTER ST",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024813615",
            "telephone_number": "800-927-0002",
            "fax_number": "603-893-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST IMAGING PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-927-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.