Active NPI
Erez Vidan, M.D.
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1015001
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-3850
- NPI assigned
- May 9, 2007
- Last updated
- Feb 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 238696 | NY | |
| Nuclear Radiology Physician | 2085N0904X | 1015001 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101259946 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 1015001 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | evidan107779@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | evidan107779@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NV, VA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000
148 Chestnut St
Needham, MA 02492-2505
Phone (781) 983-9088
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259946 | VA | MD | Diagnostic Radiology Physician |
Practice roles
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
60 Hospital Rd
#3
Leominster, MA 01453
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000
411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
Interoperability endpoints
- evidan136069@marywashingtonhealthcare.direct-ci.com
Organizations & group practices 17
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1588467948
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1639122096
-
dba University Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
-
dba APHMFP-Emergency Medicine
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
dba Associated Physicians of HMFP
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
-
dba ER at North Las Vegas
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1396436630
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
-
dba ER @ Desert Springs an ext of Valley Hospital
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1598479602
Hospital
-
dba Elite Medical Center an extension of Valley Hospital
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1770150914
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1982818373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-3850"
}
],
"practiceLocations": [
{
"address_1": "1001 Sam Perry Blvd",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014453",
"country_code": "US",
"telephone_number": "540-741-5610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDAN",
"first_name": "EREZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "238696",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MA",
"license": "1015001",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101259946",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1015001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "evidan107779@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "evidan107779@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
- VHS Acquisition Subsidiary Number 7 Inc (Saint Vincent Hospital - ESRD)
- VHS Acquisition Subsidiary Number 7 Inc (Saint Vincent Hospital)
- Julia Via, MD
- Victorine' Companion and Homecare Services LLC
- Libenyi Vidal
- Sai Sanjana Vietla, DO
- Fnu Vijaya Prakash Aviraag, MD
- Gopal R Vijayaraghavan, M.D.
- Lerato Vilakazi-Jackson, LCSW
- Vanessa I. Vilas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.