EDGAR ZAMORA GONZALEZ M.D.
NPI 1629565049
Radiology - Diagnostic Radiology in Boston, MA

Active since April 20, 2018PECOS Enrolled

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, May 21, 2026, Sep 13, 2018 and 1 more (4 updates tracked since 2018).

About Edgar Zamora Gonzalez M.d. NPPES

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

EDGAR ZAMORA GONZALEZ M.D. (NPI 1629565049) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1026146) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629565049
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDGAR ZAMORA GONZALEZCredential: M.D.
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address205 S Front StreetHarrisburg, PA 17105 · (717) 231-8634 · Fax (717) 231-8659
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 20, 2018
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1629565049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1026146
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 FRUIT ST, Boston, MA 02114

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Zamora Gonzalez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860744547
PECOS Enrollment IDI20260605003779
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

2

Medicare enrollment records show Edgar Zamora Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 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.

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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Edgar Zamora Gonzalez's NPI number?

The NPI number for Edgar Zamora Gonzalez is 1629565049. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Edgar Zamora Gonzalez located?

Edgar Zamora Gonzalez practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Edgar Zamora Gonzalez's specialty?

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

Is Edgar Zamora Gonzalez enrolled in Medicare?

Yes. Edgar Zamora Gonzalez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edgar Zamora Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Zamora Gonzalez reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Edgar Zamora Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Zamora Gonzalez accept?

Health plans from Taro Health list Edgar Zamora Gonzalez 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.

When was this NPI record last updated?

The NPPES record for Edgar Zamora Gonzalez was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.