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PHYLLIS J. KORNGUTH MD, PHD
NPI 1790741155
Radiology - Diagnostic Radiology in Boston, MA

Active since April 25, 2006
133 BROOKLINE AVE, BOSTON, MA 02215(617) 421-1000(617) 421-6084 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis J. Kornguth Md, Phd NPPES

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

PHYLLIS J. KORNGUTH MD, PHD (NPI 1790741155) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (41281) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790741155
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NamePHYLLIS J. KORNGUTHCredential: MD, PHD
Location Address133 BROOKLINE AVEBoston, MA 02215-3904
Mailing Address147 Milk St, Provider Enrollment Department - 9th FloorBoston, MA 02109-4806 · (617) 421-2508 · Fax (617) 421-3487
Phone(617) 421-1000
Fax(617) 421-6084
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1790741155 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 · 41281
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
133 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Other Identifiers 9

Other0015804MA · Neighborhood Health
Other4814101MA · Cigna
OtherAA43706MD · Harvard Pilgrim
Medicare UPINE35621MA
Other041281MA · Tufts Health Plan
OtherJ21332MA · Blue Cross Blue Shield
Medicaid3196097MA
Medicare ID-Type UnspecifiedA30005MA
OtherP00272094MD · Railroad

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.

MRS. MELISSA ASHLEY ZIOGAS APRN-FNP
Nurse Practitioner (Family)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
SHIVAUN ELAINE PIKE NP
Nurse Practitioner (Adult Health)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
HARRIET SCHEFT M.D.
Psychiatry & Neurology (Psychiatry)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-2040
CAROL J ZUCKERMAN M.D.
Internal Medicine
133 BROOKLINE AVE, INTERNAL MEDICINE
BOSTON, MA 02215
Suffolk County (617) 421-5804
HARVARD VANGUARD MEDICAL ASSOCIATES
Social Worker
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1000
DIANE L. GILWORTH NP
Registered Nurse
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-6050
MARGARET SIDOR PHD, CGC
Genetic Counselor, MS
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 421-1035
NED WILSON MORSE
Technician/Technologist (Optician)
133 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (174) 211-1496

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 Phyllis Kornguth's NPI number?

The NPI number for Phyllis Kornguth is 1790741155. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Phyllis Kornguth located?

Phyllis Kornguth practices at 133 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 421-1000.

What is Phyllis Kornguth's specialty?

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

When was this NPI record last updated?

The NPPES record for Phyllis Kornguth was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.