DR. THADDEUS W HERLICZEK MD
NPI 1053457721
Radiology - Pediatric Radiology in Boston, MA

Active since January 30, 2007PECOS Enrolled
83.83/100
CMS Quality Rating
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Jan 22, 2026, May 17, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Thaddeus W Herliczek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THADDEUS W HERLICZEK MD (NPI 1053457721) is an individual pediatric radiology provider in Boston, Massachusetts, licensed in Massachusetts (231919) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1053457721
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDR. THADDEUS W HERLICZEKCredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 30, 2007
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1053457721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Licenses Licensed in MA · 231919 Licensed in DC · MD500003109
Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 12603 (RI), MD70086097 (WA)
300 LONGWOOD AVE, Boston, MA 02115

Other Names 1

Other Name (5)Thaddeus Wilson Herliczek

Secondary Practice Location 1

Location 11304 Fawcett Ave Ste 100Tacoma, WA 98402-1900 · Phone (253) 761-4200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thaddeus W Herliczek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395818413
PECOS Enrollment IDI20250122001350, I20260320002198
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
186 services186 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services26 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
26 services26 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
23 services22 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
22 services22 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Children's Hospital

Childrens · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number223302
Location300 Longwood AvenueBoston, MA 02115 · Suffolk County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost82.79

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Genetic Counselor, MS
300 LONGWOOD AVE, CLS 14074
BOSTON, MA 02115
Pediatrics (Pediatric Critical Care Medicine)
300 LONGWOOD AVE, DIVISION OF CRITICAL CARE MEDICINE
BOSTON, MA 02115
Pediatrics (Pediatric Pulmonology)
300 LONGWOOD AVE, HUNNEWELL 2
BOSTON, MA 02115
Medical Genetics (Clinical Genetics (M.D.))
300 LONGWOOD AVE, CHILDREN'S HOSPITAL
BOSTON, MA 02115
Oral & Maxillofacial Surgery
300 LONGWOOD AVE, HU-158
BOSTON, MA 02115
Medical Genetics (Clinical Biochemical Genetics)
300 LONGWOOD AVE
BOSTON, MA 02115
Pediatrics (Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Pediatrics (Pediatric Cardiology)
300 LONGWOOD AVE
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Herliczek's NPI number?

The NPI number for Thaddeus Herliczek is 1053457721. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Thaddeus Wilson Herliczek.

Where is Thaddeus Herliczek located?

Thaddeus Herliczek practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Thaddeus Herliczek's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Thaddeus Herliczek enrolled in Medicare?

Yes. Thaddeus Herliczek is registered in the Medicare PECOS enrollment system.

Is Thaddeus Herliczek affiliated with any hospitals?

According to CMS data, Thaddeus Herliczek is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Thaddeus Herliczek was last updated on February 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.