HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE – NPI #1275574899
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE is a radiologist located in BOSTON, MA. NPPES has assigned the NPI number 1275574899 to HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

The NPI profile was last updated on Sep 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE below.

NPI Profile for
HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE

NPI Number
1275574899
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE
Primary location
330 BROOKLINE AVE
BOSTON, MA 02215
Phone: (617) 632-7441 Fax: (617) 667-2601
Mailing address
375 LONGWOOD AVE STE 3
BOSTON, MA 02215-5395
Phone: (617) 632-7441 Fax: (617) 632-7570
Organization Subpart
No
Authorized Official
ALEXANDRA KIMBALL
CHIEF EXECUTIVE OFFICER
Phone: (617) 632-7441
Updated
Certification Date
Sep 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA9753397
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085B0100X
- Radiology / Body Imaging (Primary)
2085R0202X
- Radiology / Diagnostic Radiology
2085N0700X
- Radiology / Neuroradiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.