Joseph L Pennacchio, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

42715 Issued in MA

Practice address

41 Montvale Ave
Hematology & Oncology Center
Stoneham, MA 02180-2445

Phone

(781) 224-5810

Fax

(781) 224-5813

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Hematology/Oncology

Education

Tufts University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pratt Medical Group IncGroup PAC ID 3375515661, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpennacchio23935@tuftsmedicine.direct-ci.com

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.

• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc-General Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1275570319
  Medicare reassignment Care Compare group NPD
• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900
  Medicare reassignment NPD
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Medicare reassignment NPD
• Hallmark Health System Inc

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1275673667

  Hematology & Oncology

  NPD
• Melrosewakefield Healthcare, Inc.

  • Psychiatric Hospital Unit
  • Medford, MA
  • NPI 1891835351
  NPD
• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc- Hematology/Oncology

  • Hematology & Oncology Physician
  • Boston, MA
  • NPI 1386964179
  NPD
• Pratt Medical Group, Inc

  dba Pratt Medical Group, Inc - Pulmonary Disease

  • Pulmonary Disease Physician
  • Boston, MA
  • NPI 1508187642
  NPD
• Pratt Medical Group, Inc

  dba Pratt Orthopaedics Associates, Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1184661225
  NPD (past)
• Salil K Midha, MD, PC

  • Cardiovascular Disease Physician
  • Melrose, MA
  • NPI 1477749133
  NPD (past)

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

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation
• Tufts Medical Center, Inc.

  dba Tufts Medical Center

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1053387795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTVALE AVE",
            "address_2": "HEMATOLOGY & ONCOLOGY CENTER",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802445",
            "telephone_number": "781-224-5810",
            "fax_number": "781-224-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTVALE AVE",
            "address_2": "HEMATOLOGY & ONCOLOGY CENTER",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802445",
            "telephone_number": "781-224-5810",
            "fax_number": "781-224-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNACCHIO",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "42715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194662",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "705660",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY #",
            "identifier": "A03065",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA85731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patriot Urgent Care Professionals, PC (AFC Urgent Care Stoneham)
• Eric Puccini Paulson, M.D.
• Pearle Vision Inc
• Pediatrics Inc
• Andrew W Pellechia, PA
• Alyssa Penney
• Mercia Pereira Da Silva
• Sophia Perlstein
• Personal Best Chiropractic LLC
• Gabriella F Pesce

• Hematology & Oncology Physician in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Hematology & Oncology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.