Active NPI
Jennifer A. Coukos, M.D.
- Gastroenterology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 291592
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-2846
- NPI assigned
- Mar 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 291592 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-2846
Other practice location 2
21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 856-2500
Other practice location 3
28 Newton St
Southborough, MA 01772-1215
Phone (508) 597-2233
Other practice location 4
157 Union St
Marlborough, MA 01752-1228
Phone (508) 334-3068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110115468A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Massachusetts Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
- Marlborough Hospital
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Health - Harrington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 121 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 88 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients |
Locations
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
28 Newton St
Southborough, MA 01772
Phone (508) 334-3068
21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1164884367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-2846"
}
],
"practiceLocations": [
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "508-334-2846",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 Eastern Ave",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053094",
"country_code": "US",
"telephone_number": "508-856-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28 Newton St",
"address_purpose": "LOCATION",
"city": "Southborough",
"state": "MA",
"postal_code": "017721215",
"country_code": "US",
"telephone_number": "508-597-2233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "157 Union St",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "017521228",
"country_code": "US",
"telephone_number": "508-334-3068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COUKOS",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "291592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110115468A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Kathryn Coughlin
- Kerry Coughlin, RD
- Kristy Coughlin
- Margaret Julia Coughlin
- Maria Coughlin
- Meaghan M Coull, RDH
- Counseling & Assessment Clinic of Worcester LLC
- Counseling & Assessment Clinic of Worcester, LLC
- Counseling & Assessment Clinic of Worcester, LLC
- Counseling and Assessment Clinic of Worcester
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.