Individual provider Active NPI

Emmanuel Magara, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1902260706
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
286534 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 724-9729
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 286534 MA
Diagnostic Radiology Physician 2085R0202X 286534 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

55 Fruit St
Boston, MA 02114-2696
Phone (440) 204-9663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220610000493 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2163828021 Reassigns benefits to 3 organizations
I20250303000167 DC Practitioner - Diagnostic Radiology 2163828021 Reassigns benefits to 1 organization
I20251113004646 VI Practitioner - Diagnostic Radiology 2163828021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Harvard Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Center, PCGroup PAC ID 4183803562, 3 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

4500 Sunny Isle
Suite 4B
Christiansted, VI 00820-4682
Phone (340) 778-5305

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Imaging Center, PC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

636 Del Prado Blvd S
Ste 4
Cape Coral, FL 33990
Phone (239) 424-2318

13880 Shell Point Plz
Ste 110
Fort Myers, FL 33908
Phone (239) 454-2146

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

4500 Sunny Isle
Ste 4B
Christiansted, VI 00820
Phone (340) 778-5840

Organizations & group practices 6

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1902260706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "440-204-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-724-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGARA",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MA",
            "license": "286534",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "286534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.