Individual provider Active NPI

Nardine M Mikhail, DO

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1902301518
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1015325 Issued in MA
Practice address
840 Harrison Ave
Boston, MA 02118-2905
Phone
(617) 638-6610
Fax
(617) 638-6616
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 1015325 MA Primary
Diagnostic Radiology Physician 2085R0202X 25MB12769600 NJ

Addresses

Primary practice location

840 Harrison Ave
Boston, MA 02118-2905

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

890 Mountain Ave
New Providence, NJ 07974-1218
Phone (908) 277-8673

Other practice location 2

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

Other identifiers 1

IdentifierTypeStateIssuer
110201651AMedicaidMA

Other names 1

  • Nardine Abdelmalek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240515001470 MA Practitioner - Diagnostic Radiology 2264873744 Reassigns benefits to 2 organizations
I20251023001222 NJ Practitioner - Diagnostic Radiology 2264873744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015325MAMDDiagnostic Radiology Physician
25MB12769600NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Summit Medical Group PA CurrentSince Oct 13, 2025 Accepting new patients
Summit Medical Group PA CurrentSince Oct 13, 2025 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Jul 1, 2024 Accepting new patients
Neighborhealth Corporation CurrentSince Jul 1, 2024 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

890 Mountain Ave
New Providence, NJ 07974
Phone (908) 277-8799

Interoperability endpoints

  • Direct secure messaging: nardine.mikhail.1@2983.direct.athenahealth.com
  • Direct secure messaging: nmikhail241565@direct.bmc.masshiway.net

Organizations & group practices 5

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1902301518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 HARRISON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182905",
            "telephone_number": "617-638-6610",
            "fax_number": "617-638-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "New Providence",
            "state": "NJ",
            "postal_code": "079741218",
            "country_code": "US",
            "telephone_number": "908-277-8673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281920",
            "country_code": "US",
            "telephone_number": "617-569-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "NARDINE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1015325",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB12769600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110201651A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NARDINE",
            "last_name": "ABDELMALEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.