Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellie S Kwak, MD

Individual provider Diagnostic Radiology Physician · NPI 1912262551

Ellie S Kwak, MD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2012, 14 years ago. Practices with Community Radiology Associates Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Maryland and Virginia.

Years since qualifying
14
Trained at
Tufts University School of Medicine
Licensed in
MA, MD, VA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-6757
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101265884 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 269509 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0087546 (MD)

Record details

NPI number1912262551
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2012
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Community Radiology Associates Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boston