RADIOLOGY & IMAGING, INC. – Diagnostic Radiology Physician, NPI 1790731008
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RADIOLOGY & IMAGING, INC.
PO BOX 4110
DEPARTMENT 7990
WOBURN, MA 018884110
Phone: (413) 495-1129
Fax: (413) 827-7407
Type: Mailing
Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States
RADIOLOGY DEPARTMENT
SPRINGFIELD, MA 011071619
Phone: (413) 827-7426
Fax: (413) 827-7407
Type: Location
One Financial Plaza, 1350, Main Street, Metro Center, South End, Springfield, Hampden County, Massachusetts, 01144, United States
SUITE 1007
SPRINGFIELD, MA 011031628
Phone: (413) 495-1129
Fax: (413) 827-7407
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: 2026-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
9
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20040525001128 | O | Clinic/Group Practice | CT | TBD |
| O20060418000566 | O | Clinic/Group Practice | MA | 2023-08-31 |
| O20181004002828 | O | Clinic/Group Practice | CA | 2024-08-31 |
| O20210702001895 | O | Clinic/Group Practice | GA | 2026-07-31 |
| O20211116002605 | O | Clinic/Group Practice | NY | TBD |
| O20220531001377 | O | Clinic/Group Practice | FL | TBD |
| O20250922002720 | O | Clinic/Group Practice | AL | TBD |
| O20251107002854 | O | Clinic/Group Practice | DC | TBD |
| O20260113000643 | O | Clinic/Group Practice | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 01888)
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