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TANNER LINES MD
NPI 1366062416
Radiology - Diagnostic Radiology in Boston, MA

Active since April 19, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Apr 19, 2020 (2 updates tracked since 2020).

About Tanner Lines Md NPPES

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

TANNER LINES MD (NPI 1366062416) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1021815) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1366062416
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTANNER LINESCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address517 Arbor Brook LnCoppell, TX 75019-4044 · (214) 202-5897
Phone(617) 724-0288
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2020
Enumeration DateApril 19, 2020
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1366062416 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 · 1021815
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Secondary Practice Location 1

Location 16431 Fannin St Ste Msb 1134Houston, TX 77030-1501 · Phone (713) 500-6500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanner Lines Md 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 ID7719406933
PECOS Enrollment IDI20250521001451
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.

Hospital Affiliations CMS Care Compare 5

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Tanner Lines's NPI number?

The NPI number for Tanner Lines is 1366062416. It was assigned to this individual provider in the NPPES registry on April 19, 2020.

Where is Tanner Lines located?

Tanner Lines practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-0288.

What is Tanner Lines's specialty?

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

Is Tanner Lines enrolled in Medicare?

Yes. Tanner Lines 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.

Is Tanner Lines affiliated with any hospitals?

According to CMS data, Tanner Lines is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Newton-Wellesley Hospital, Brigham And Women's Hospital and Martha's Vineyard Hospital Inc.

When was this NPI record last updated?

The NPPES record for Tanner Lines was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.