DR. FARGOL BOOYA (M.D.) – Diagnostic Radiology Physician, NPI 1043451461

DR. FARGOL BOOYA (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 242086 (MA). The NPI Number for DR. FARGOL BOOYA (M.D.) is 1043451461

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. FARGOL BOOYA (M.D.)
NPI
1043451461
Phone
(617) 667-3532
Address
330 BROOKLINE AVE
Enumeration Date
14 March 2009
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055044544
Graduation Year
2003 (23 years ago)
PAC ID
0143351114
Group Practice PAC ID
3375964505
Professional Enrollment ID
I20120726000118
Address ID
CA928216014BR452XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,952 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for DR. FARGOL BOOYA (M.D.)

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BOSTON, MA 022155400

    Phone: (617) 667-3532

    Type: Location

  • 9, Broadway, Farm Hill, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 021801025

    Phone: (617) 455-2048

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120726000118IDiagnostic RadiologyCATBD
I20150507000419IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast508501$0
71045X-ray of chest, 1 view330323$0
763763d radiographic procedure301293$0
71275Ct scan of blood vessels of chest with contrast214213$0
70551Mri scan of brain without contrast207207$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375964505View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyME
-AZ
Diagnostic RadiologyWV
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Physician AssistantAZ
-AZ

Reviews

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Frequently asked questions

Can I verify DR. FARGOL BOOYA (M.D.) with an NPI only?
You can start verification with NPI 1043451461 for DR. FARGOL BOOYA (M.D.), then check state licensing separately.
Does CMS list DR. FARGOL BOOYA (M.D.) as active?
Yes — DR. FARGOL BOOYA (M.D.) is active in the NPI listing used on this page.
What is DR. FARGOL BOOYA (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. FARGOL BOOYA (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. FARGOL BOOYA (M.D.) list a practice location?
Patients near Boston, Massachusetts may find DR. FARGOL BOOYA (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.