Michael Wasserman, MD

in Boston, MA. Individual provider (NPI-1).

NPI number1346669751

StatusActive

Last updated in NPPESMar 3, 2026

Details

NPI: 1346669751
Entity type: Individual (NPI-1)
Name: Michael Wasserman
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Apr 14, 2014
Certification date: Mar 3, 2026
Last updated: Mar 3, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085N0700X		277865	MA	Yes
2085R0202X	Radiology, Diagnostic Radiology	277865	MA

Practice location

840 Harrison Ave
Boston, MA 02118-2905

Phone 617-638-6610 · Fax 617-638-6616

Mailing address

960 Massachusetts Ave
Flr 2
Boston, MA 02118

Other practice locations

736 Cambridge St
Brighton, MA 02135

Phone 617-789-2762

10 Gove Street
East Boston, MA 02128

Phone 617-569-5800

235 North Pearl St
Brockton, MA 02301

Phone 508-427-2665 · Fax 508-427-2368

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