Individual provider Active NPI

Roy L Moss, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1912978172
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
211084 Issued in MA
Practice address
840 Harrison Ave
Boston, MA 02118-2905
Phone
(617) 638-6610
Fax
(617) 638-6616
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME100670 FL
Vascular & Interventional Radiology Physician 2085R0204X MD434403 PA
Body Imaging Physician 2085B0100X MD434403 PA
Diagnostic Radiology Physician 2085R0202X D0063405 MD
Nuclear Radiology Physician 2085N0904X MD434403 PA
Diagnostic Radiology Physician 2085R0202X 036119051 IL
Diagnostic Radiology Physician 2085R0202X 211084 MA Primary

Addresses

Primary practice location

840 Harrison Ave
Boston, MA 02118-2905

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

Other practice location 1

6605 Pebble Brooke Rd
Baltimore, MD 21209-3793
Phone (410) 484-7032

Other practice location 2

235 North Pearl St
Brockton, MA 02301
Phone (508) 427-2665

Other practice location 3

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

Other practice location 4

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

Other identifiers 10

IdentifierTypeStateIssuer
110161078AMedicaidMA
206126OtherPAJOHNS HOPKINS
408338500MedicaidMD
2849OtherDCB/C B/S
3139893MedicaidNH
J062OtherMDB/C B/S
2083615OtherPAHIGHMARK BLUE SHIELD
102248052MedicaidPA
1578951OtherPAGATEWAY-WMG
KA80OtherMDB/C B/S

Other names 1

  • Dr. Roy Laurence Moss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, KY, PA, TX, NY, MA, NM, WI, CT, IL, WA12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20050812000327 DC Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization
I20050816000099 MD Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 20 organizations
I20081121000214 KY Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization
I20090204000454 PA Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization
I20150707000307 TX Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 2 organizations
I20220301000644 NY Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 2 organizations
I20230302001685 MA Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 4 organizations
I20241018003481 NM Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization
I20250109002032 WI Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization
I20250902001142 CT Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 4 organizations
I20251111002113 IL Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 3 organizations
I20260429002439 WA Practitioner - Diagnostic Radiology 3173553864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Boston University Medical Center Radiologists, Inc.Group PAC ID 1052392768, 61 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

Pikesville, MD 21208
Phone (309) 671-8282

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

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

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

11094 Commanders LN
White Plains, MD 20695-3147
Phone (614) 210-1861

11402 Newport Bay Dr
Berlin, MD 21811-9642
Phone (615) 312-0600

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

160 S Roadrunner Pkwy
Memorial Imaging Center of Las Cruces
Las Cruces, NM 88011-7044
Phone (505) 225-8476

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

3123 Enclave CT
Pikesville, MD 21208-3337
Phone (219) 767-6320

3650 Patuxent River Rd
Davidsonville, MD 21035-2421
Phone (609) 585-8800

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 225-8476

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

9120 Gorman Rd
Laurel, MD 20723-5902
Phone (832) 355-4112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434403PAMDBody Imaging Physician
ME100670FLMDDiagnostic Radiology Physician
036119051ILMDDiagnostic Radiology Physician
D0063405MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical X-Ray Consultants, LTD Body Imaging CurrentSince Jul 13, 2025 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Nov 24, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 23, 2025 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Apr 17, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
Neighborhealth Corporation CurrentSince Apr 17, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 22, 2018 Accepting new patients
Northside Radiology Associates LLC Nuclear Radiology CurrentSince May 4, 2024 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 23, 2018 Accepting new patients
Specialists in Medical Imaging, SC Body Imaging CurrentSince Dec 1, 2020 Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Jun 19, 2023 Accepting new patients
Boston University Medical Center Radiologists, Inc. Body Imaging CurrentSince Apr 17, 2023 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Oct 23, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Nov 9, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Oct 30, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 3, 2023 Accepting new patients
Upmc Wellsboro CurrentSince Jan 1, 2020 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Dec 24, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Jefferson Radiology, PC Body Imaging CurrentSince Jul 26, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Dec 24, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 22, 2018 Accepting new patients
County of Clay Current Accepting new patients
Farmington Imaging Center, LLC Body Imaging CurrentSince Feb 22, 2025 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Nov 1, 2015 Accepting new patients
Upmc Wellsboro CurrentSince Jan 1, 2020 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Oct 30, 2025 Accepting new patients
Jamaica Hospital CurrentSince Apr 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
County of Clay CurrentSince Sep 27, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
MMDS of Boston, LLC CurrentSince Aug 24, 2018 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 8, 2025 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Oct 30, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 3, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Diagnostic Radiology Current Accepting new patients
BMC Affiliated Physicians, Inc. Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Apr 20, 2025 Accepting new patients
County of Clay CurrentSince Sep 27, 2025 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Nov 16, 2015 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Connecticut Imaging Partners, LLC Body Imaging CurrentSince Feb 23, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Aug 8, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 21, 2025 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Dec 31, 2018 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Body Imaging Past Accepting new patients
Upmc Wellsboro Past Accepting new patients
Premier Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients

Locations (25 of 63)

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Ste 130
Farmington, CT 06032

399 Farmington Ave
Lowr 1
Farmington, CT 06032

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

2709 Meredyth Dr
Ste 260
Albany, GA 31707
Phone (229) 312-1638

2709 Meredyth Dr
Ste 100
Albany, GA 31707
Phone (229) 312-0200

427 W 3rd Ave
Ste 400
Albany, GA 31701
Phone (229) 312-4012

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

2200 Vernon St
Lagrange, GA 30240

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 880-7204

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rmoss178652@direct.bmc.masshiway.net
  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 56

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.

View all 56

Hospital & facility affiliations 12

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1912978172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 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": "6605 Pebble Brooke Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093793",
            "country_code": "US",
            "telephone_number": "410-484-7032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 North Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-427-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Gove Street",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "02128",
            "country_code": "US",
            "telephone_number": "617-569-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ROY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME100670",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD434403",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD434403",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0063405",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PA",
            "license": "MD434403",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036119051",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "211084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110161078A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "206126",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408338500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "2849",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139893",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "J062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2083615",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102248052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1578951",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "KA80",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROY",
            "last_name": "MOSS",
            "middle_name": "LAURENCE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.