DR. MICHAEL ROUX M.D.
NPI 1285071142
Radiology - Diagnostic Radiology in Boston, MA

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
840 HARRISON AVE, BOSTON, MA 02118(617) 638-6610 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2019, Mar 17, 2018, Nov 7, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Michael Roux M.d. NPPES

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

DR. MICHAEL ROUX M.D. (NPI 1285071142) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (281142) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285071142
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL ROUXCredential: M.D.
Location Address840 HARRISON AVEBoston, MA 02118
Mailing Address720 Harrison Ave # Dob503Boston, MA 02118-2371 · (617) 414-5405
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateSeptember 13, 20194 updates tracked since enumeration
✔ NPI 1285071142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 281142
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT204249 (PA)
840 HARRISON AVE, Boston, MA 02118

Secondary Practice Locations 2

Location 11255 S Cedar Crest Blvd Ste 3200Allentown, PA 18103-6232 · Phone (610) 402-1364
Location 2820 Harrison Ave Bldg 3Boston, MA 02118-2905 · Phone (617) 414-5135 · Fax (617) 638-6616

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Roux M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315181542
PECOS Enrollment IDI20191002002530
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Michael Roux reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
840 HARRISON AVE
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 84 clinicians in this Medicare group
Diagnostic Radiology
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 132 clinicians in this Medicare group
Diagnostic Radiology
800 WASHINGTON ST
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 68 clinicians in this Medicare group
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 577 clinicians in this Medicare group
Community Health
10 GOVE ST
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: East Boston Neighborhood Health Center Corp
  • 456 clinicians in this Medicare group
Diagnostic Radiology
585 LEBANON ST
Melrose, MA 02176
  • Reassigned Medicare billing, Massachusetts enrollment
  • 75 clinicians in this Medicare group
Diagnostic Radiology
295 VARNUM AVE
Lowell, MA 01854
  • Reassigned Medicare billing, Massachusetts enrollment
  • 93 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 44

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
461 services433 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.
448 services434 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.
353 services329 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
197 services193 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
186 services182 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
119 services117 patients

Hospital Affiliations CMS Care Compare 3

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Pediatrics
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Radiology (Vascular & Interventional Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
840 HARRISON AVE
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118

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 Michael Roux's NPI number?

The NPI number for Michael Roux is 1285071142. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Michael Roux located?

Michael Roux practices at 840 Harrison Ave, Boston, MA 02118. The listed phone number is (617) 638-6610.

What is Michael Roux's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Roux enrolled in Medicare?

Yes. Michael Roux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Roux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roux reassigns Medicare benefits to 7 organizations: Boston University Medical Center Radiologists, Inc. (Boston, MA), Pratt Radiology Associates, Inc (Boston, MA), Tmc Radiology Cra LLC (Boston, MA), Internal Medical Associates-Ebnhc (East Boston, MA), Neighborhealth Corporation (East Boston, MA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Roux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Roux accept?

Health plans from Taro Health list Michael Roux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Roux affiliated with any hospitals?

According to CMS data, Michael Roux is affiliated with Lowell General Hospital, Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Roux was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.