Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce
NPI 1275574899ActiveOrganization· Radiology, Body Imaging· Boston, MA
Radiology, Body Imaging in Boston, Massachusetts, registered in NPPES in June 2006. The authorized official on file is Alexandra Boer Kimball, MD, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1275574899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Body Imaging Primary | 2085B0100X | — | — |
| Radiology, Neuroradiology | 2085N0700X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
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 Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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