NPIMap

Individual provider Active NPI

Patrick Andre Jeanmenne, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1144393190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
222143 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 278-0702
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 222143 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

1000 Presidents Way
1343
Dedham, MA 02026-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080605000500 PA Practitioner - Diagnostic Radiology 1153491949 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Highlands Hospital and Health CenterGroup PAC ID 2769460757, 51 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222143MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monongahela Valley Hospital, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Nov 23, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince Jan 17, 2025 Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Nov 23, 2024 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Centre Diagnostic Imaging, PC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Highlands Hospital and Health Center Current Accepting new patients

Locations

502 Park Ave
Clearfield, PA 16830
Phone (814) 765-1681

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

177 Washington St
Saint Marys, PA 15857
Phone (814) 781-7531

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Organizations & group practices 8

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144393190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PRESIDENTS WAY",
            "address_2": "1343",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-278-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANMENNE",
        "first_name": "PATRICK",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "222143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.