Individual provider Active NPI

John K Mukai, M.D.

  • Diagnostic Radiology Physician
  • Templeton, MA
National Provider Identifier
1033159249
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48083 Issued in MA
Practice address
14 Rice Rd
Templeton, MA 01468-1332
Phone
(978) 939-2035
Fax
(978) 939-2039
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 48083 MA Primary
Neuroradiology Physician 2085N0700X 48083 MA

Addresses

Primary practice location

14 Rice Rd
Templeton, MA 01468-1332

Mailing address

14 Rice Rd
Templeton, MA 01468-1332
Phone (978) 939-2035

Other identifiers 13

IdentifierTypeStateIssuer
754141OtherMATUFTS HEALTH PLANS
042477296OtherMAHEALTH CARE VALUE MANAGEM
300072285OtherMARAILROAD MEDICARE
3011097OtherMAHEALTHY START
52277OtherMDFALLON COMMUNITY HEALTH
97653204OtherMANETWORK HEALTH
0007041OtherMANEIGHBORHOOD HEALTH PLAN
40007OtherMAHEALTH NEW ENGLAND
042477296OtherMAPRIVATE HEALTH CARE SYSTE
245374OtherMAHARVARD PILGRIM HEALTH CA
J05768OtherMABLUE CROSS BLUE SHIELD
3011097MedicaidMA
684010OtherMACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000894 MA Practitioner - Diagnostic Radiology 7214906155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Radiological Associates IncGroup PAC ID 1850365578, 17 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

123 Summer St
Worcester, MA 01608-1216
Phone (978) 939-2035

14 Cochituate Rd
Suite 1a
Framingham, MA 01701-7915
Phone (508) 872-5157

14 Rice Rd
Templeton, MA 01468-1332
Phone (978) 939-2035

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48083MAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Radiological Associates Inc Neuroradiology CurrentSince Feb 1, 2002 Accepting new patients
Tri City Radiology Inc PS Diagnostic Radiology Past Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1033159249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681332",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681332",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAI",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "48083",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "48083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "754141",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE VALUE MANAGEM",
            "identifier": "042477296",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300072285",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "3011097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH",
            "identifier": "52277",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97653204",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0007041",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "40007",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYSTE",
            "identifier": "042477296",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "245374",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J05768",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011097",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "684010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, MA

Sources for this page

Verify at the official NPI Registry.