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

Nima Omid-Fard

Individual provider Diagnostic Neuroimaging (Radiology) Physician · NPI 1154161222

Nima Omid-Fard is a Diagnostic Radiology in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

55 Fruit Street Gray 2 Rm 241 G
Boston, MA 02114
Phone: (617) 726-8320
Fax: (617) 724-3338
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1018223 (MA)
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X · Licence 1018223 (MA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 1018223 (MA)

Record details

NPI number1154161222
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Boston