Thaddeus W. Herliczek, MD
NPI 1053457721ActiveIndividual· Radiology, Pediatric Radiology· Boston, MA
Radiology, Pediatric Radiology (MD) with Tra-Minw P S and 2 other groups, practicing in Boston, Massachusetts. Medicare paid $18,695 for services to 425 patients in 2024. Lists Boston Children's Hospital as a hospital affiliation.
Overview
| NPI | 1053457721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Pediatric Radiology Primary | 2085P0229X | 231919 | MA |
| Radiology, Pediatric Radiology | 2085P0229X | MD500003109 | DC |
| Radiology, Diagnostic Radiology | 2085R0202X | 12603 | RI |
| Radiology, Diagnostic Radiology | 2085R0202X | MD70086097 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (DC); Practitioner - Interventional Radiology (MA); Practitioner - Diagnostic Radiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 425 |
|---|---|
| Services billed | 899 across 56 procedure codes |
| Paid by Medicare | $18,695 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Tra-Minw P SDecatur, GA · 155 clinicians
- Medical Imaging Northwest - Good Samaritan Hospital Imaging AllianceDecatur, GA · 118 clinicians
- Children's Hospital Radiology Foundation, Inc.Boston, MA · 58 clinicians
Hospital affiliation
- Boston Children's HospitalBoston, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 Radiology, Pediatric Radiology providers in Boston · All Radiology, Pediatric Radiology providers in Massachusetts