CORALLI R SO (MD) – Vascular & Interventional Radiology Physician, NPI 1801830153
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
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Provider Addresses for CORALLI R SO (MD)
244, West Newton Street, Back Bay, Boston, Suffolk County, Massachusetts, 02199, United States
APARTMENT #3
BOSTON, MA 021166405
Phone: (781) 979-3120
Fax: (781) 979-3994
Type: Mailing
Melrose-Wakefield Hospital, 585, Lebanon Street, Wyoming, Melrose, Middlesex County, Massachusetts, 02176, United States
RADIOLOGY DEPARTMENT
MELROSE, MA 021763225
Phone: (781) 979-3120
Fax: (781) 979-3994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($46).
Total Amount
$88
General + Research + Ownership
Payments
4
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101201000380 | I | Diagnostic Radiology | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 255 | 239 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 139 | 139 | $0 |
| 71045 | X-ray of chest, 1 view | 92 | 81 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 91 | 91 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 70 | 50 | $0 |
Insurance plans in this area (ZIP 02116)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 71010 | X-ray of chest, 1 view, front | 225 | 193 |
| DIAGNOSTIC RADIOLOGY | MA | 73110 | X-ray of wrist, minimum of 3 views | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | MA | 74177 | CT scan of abdomen and pelvis with contrast | 108 | 104 |
| DIAGNOSTIC RADIOLOGY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 59 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MA | |
| Nuclear Medicine, Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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