NEB RADIOLOGY PC – Diagnostic Radiology Physician, NPI 1073590840
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NEB RADIOLOGY PC
Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
BROOKLINE, MA 024469132
Phone: (800) 927-0002
Type: Mailing
PO BOX 4238
PORTSMOUTH, NH 038024238
Phone: (800) 889-4447
Type: Mailing
New England Baptist Hospital, 125, Parker Hill Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
ROXBURY CROSSING, MA 021202847
Phone: (617) 754-6687
Type: Location
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: 2026-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| O20041018000685 | O | Clinic/Group Practice | MA | TBD |
| O20250311002771 | O | Clinic/Group Practice | TX | TBD |
| O20250425000662 | O | Clinic/Group Practice | NY | TBD |
| O20250910000609 | O | Clinic/Group Practice | NH | TBD |
| O20251125000982 | O | Clinic/Group Practice | FL | TBD |
| O20260112002503 | O | Clinic/Group Practice | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02446)
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Reviews
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