PATRICK E TIVNAN MD
NPI 1164951679
Radiology - Diagnostic Radiology in Boston, MA
About Patrick E Tivnan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK E TIVNAN MD (NPI 1164951679) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Maryland (D96423) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick E Tivnan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
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 Patrick Tivnan's NPI number?
The NPI number for Patrick Tivnan is 1164951679. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is Patrick Tivnan located?
Patrick Tivnan practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Patrick Tivnan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Patrick Tivnan enrolled in Medicare?
Yes. Patrick Tivnan is registered in the Medicare PECOS enrollment system.
Is Patrick Tivnan affiliated with any hospitals?
According to CMS data, Patrick Tivnan is affiliated with Boston Children's Hospital.
When was this NPI record last updated?
The NPPES record for Patrick Tivnan was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Patrick E Tivnan, MD · NPI 1164951679
Diagnostic Radiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1164951679 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** D96423 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Albert Einstein College Of Medicine Of Yeshiva University, class of 2017
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164951679) · Data from the CMS NPPES public registry.