NPIMap

Individual provider Active NPI

Jan F Leitao-Pina, MD

  • General Practice Physician
  • Worcester, MA
National Provider Identifier
1063414266
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
79217 Issued in MA
Practice address
21 Eastern Ave
Worcester, MA 01605-3094
Phone
(508) 853-8700
Fax
(508) 853-8733
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 79217 MA Primary
Internal Medicine Physician 207R00000X 79217 MA

Addresses

Primary practice location

21 Eastern Ave
Worcester, MA 01605-3094

Mailing address

21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 853-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000295 MA Practitioner - Internal Medicine 5193613826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians
Shane Speirs MD II PLLCGroup PAC ID 3971083148, 17 clinicians

Practice addresses (Care Compare)

102 Shore Dr
Suite 303
Worcester, MA 01605-3154
Phone (508) 856-0458

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Internal Medicine CurrentSince Dec 17, 2016 Accepting new patients
New England Gastroenterology Associates, PC Past Accepting new patients
Adult Medicine Physicians, LLC Internal Medicine PastSince Nov 14, 2003 Accepting new patients
J Leitao-Pina MD PC PastSince Oct 19, 2007 Accepting new patients

Locations

260 Cochituate Rd
Ste 101
Framingham, MA 01701
Phone (508) 628-9660

72 Cudworth Rd
Webster, MA 01570
Phone (508) 461-0011

102 Shore Dr
Ste 303
Worcester, MA 01605
Phone (508) 856-0458

299 Lincoln St
Worcester, MA 01605
Phone (508) 853-8700

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230

Interoperability endpoints

  • Direct secure messaging: jan.leitao-pina.1@626.direct.athenahealth.com

Organizations & group practices 5

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

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1063414266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-853-8700",
            "fax_number": "508-853-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-853-8700",
            "fax_number": "508-853-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITAO-PINA",
        "first_name": "JAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "79217",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.