Jason L. Port, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

151546 Issued in MA

Practice address

3640 Main St
Suite 101
Springfield, MA 01107-1145

Phone

(413) 781-9000

Fax

(413) 781-7988

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Icahn School of Medicine at Mount Sinai, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians

Tic LLCGroup PAC ID 4880972819, 52 clinicians

Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Griffin Hospital Hospital, Derby, CT, CCN 070031
• Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
• Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
• Hartford Hospital Hospital, Hartford, CT, CCN 070025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Connecticut Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Wethersfield, CT
  • NPI 1740315761

  MA, Neuroradiology

  Medicare reassignment Care Compare group NPD
• Farmington Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1275987802

  MA, Neuroradiology

  Medicare reassignment Care Compare group NPD
• Tic, LLC

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1457702813

  MA

  Medicare reassignment Care Compare group NPD
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951

  MA

  Medicare reassignment Care Compare group
• Chelmsford MRI, P.C.

  • Diagnostic Radiology Physician
  • Dedham, MA
  • NPI 1386662112
  Medicare reassignment NPD
• Chelmsford MRI, P.C.

  • Diagnostic Radiology Physician
  • Springfield, MA
  • NPI 1821435553
  Medicare reassignment NPD
• Providence Diagnostic Imaging, Inc.

  • Diagnostic Radiology Physician
  • Springfield, MA
  • NPI 1609978170

  Neuroradiology

  NPD (past)
• Northwestern Ri Imaging Center, LLC

  • Radiology Clinic/Center
  • Johnston, RI
  • NPI 1881647238
  NPD (past)
• Tolland Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1841470820
  NPD (past)

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

• Day Kimball Healthcare, Inc.

  • General Acute Care Hospital
  • Putnam, CT
  • NPI 1205056371
  Care Compare affiliation
• Day Kimball Healthcare, Inc.

  • General Acute Care Hospital
  • Putnam, CT
  • NPI 1649243478
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation
• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1114033396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FARMINGTON RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061554",
            "telephone_number": "413-567-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-781-9000",
            "fax_number": "413-781-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "JASON",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "151546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154656",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "J16771",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Pope
• Audrey Claire Popielarczyk
• David M Poppel, MD
• George M Porchelli, M.ED., M.A.
• Silvana Porfilio
• Darlene Porter
• Garry Porter
• Tricia A. Porter, NP
• Autumn Lynn Porubsky, PSYD
• Michael Ryan Posner

• Neuroradiology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Neuroradiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.