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

Patrick E Tivnan, MD

Individual provider Internal Medicine Physician · NPI 1164951679

Patrick E Tivnan, MD is a Diagnostic Radiology in Boston, Massachusetts. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2017, 9 years ago. Practices with Children's Hospital Radiology Foundation, Inc, a 58-clinician group. Licensed in Massachusetts and Maryland.

Years since qualifying
9
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
MA, MD
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence D96423 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence 271287 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 271287 (MA)

Record details

NPI number1164951679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Children'S Hospital Radiology Foundation, Inc. — 58 clinicians
Accepts Medicare assignment Not indicated

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