Individual provider Active NPI

John J. Pan, M.D.

  • Diagnostic Radiology Physician
  • South Weymouth, MA
National Provider Identifier
1174740005
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
231127 Issued in MA
Practice address
55 Fogg Rd
South Weymouth, MA 02190-2432
Phone
(617) 784-0001
NPI assigned
Apr 20, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A89915 CA
Diagnostic Radiology Physician 2085R0202X 42588 AZ
Diagnostic Radiology Physician 2085R0202X 231127 MA Primary

Addresses

Primary practice location

55 Fogg Rd
South Weymouth, MA 02190-2432

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118

Other practice location 1

10 Gove St
East Boston, MA 02128
Phone (617) 569-5800

Other practice location 2

235 North Pearl St
Brockton, MA 02301
Phone (508) 427-2665

Other practice location 3

70 East St
Methuen, MA 01844-4597
Phone (978) 867-0151

Other practice location 4

1 General St
Lawrence, MA 01841-2961
Phone (978) 683-4000

Other practice location 5

840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610

Other practice location 6

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

Other practice location 7

140 Lincoln Ave
Haverhill, MA 01830-6700
Phone (978) 374-2000

Other identifiers 3

IdentifierTypeStateIssuer
110075836AMedicaidMA
3136029MedicaidNH
484419MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070719000739 MA Practitioner - Diagnostic Radiology 1951402015 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Perelman School of Med at the University of Pennsylvania, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medical Associates-EbnhcGroup PAC ID 6103814371, 239 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
South Shore Radiological Associates IncGroup PAC ID 6507838810, 35 clinicians
Boston University Medical Center Radiologists, Inc.Group PAC ID 1052392768, 61 clinicians

Practice addresses (Care Compare)

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (781) 340-8000

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89915CAMDDiagnostic Radiology Physician
231127MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Boston University Medical Center Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Shields Healthcare of Cambridge, Inc. CurrentSince Jun 21, 2026 Accepting new patients
BMC Affiliated Physicians, Inc. Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Shields MRI & Imaging Center of Cape Cod, LLC CurrentSince Jul 21, 2026 Accepting new patients
Neighborhealth Corporation CurrentSince Jul 18, 2022 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2018 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 3, 2024 Accepting new patients
Shields Radiology Associates Diagnostic Radiology CurrentSince May 1, 2026 Accepting new patients
South Shore Radiological Associates, Inc. Diagnostic Radiology CurrentSince Jun 15, 2021 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Jul 18, 2022 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince May 11, 2021 Accepting new patients
Shields MRI of Framingham, LLC CurrentSince Jul 21, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 3, 2018 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 3, 2024 Accepting new patients
SCS Radiology Diagnostic Radiology Past Accepting new patients

Locations (25 of 39)

170 Bedford St
Abington, MA 02351
Phone (781) 626-5700

960 Massachusetts Ave
Ste 2
Boston, MA 02118

310 Grove St
Braintree, MA 02184
Phone (781) 626-5320

385 Western Ave
Brighton, MA 02135
Phone (508) 897-1501

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

265 Westgate Dr
Brockton, MA 02301
Phone (508) 580-6482

265 Westgate Dr
Ste 2
Brockton, MA 02301
Phone (800) 258-4574

161 Granite Ave
Dorchestr Ctr, MA 02124
Phone (617) 282-4141

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5565

182 Summer St
Kingston, MA 02364
Phone (781) 585-1326

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

313 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 897-1501

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

118 Long Pond Rd
Ste 200
Plymouth, MA 02360
Phone (508) 830-2282

Interoperability endpoints

  • Direct secure messaging: jpan161859@direct.bmc.masshiway.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 11

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1174740005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "617-784-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "02128",
            "country_code": "US",
            "telephone_number": "617-569-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 North Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "02301",
            "country_code": "US",
            "telephone_number": "508-427-2665",
            "fax_number": "508-427-2368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 East St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444597",
            "country_code": "US",
            "telephone_number": "978-867-0151",
            "fax_number": "978-794-3784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 General St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412961",
            "country_code": "US",
            "telephone_number": "978-683-4000",
            "fax_number": "978-946-8171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182905",
            "country_code": "US",
            "telephone_number": "617-638-6610",
            "fax_number": "617-638-6616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018306700",
            "country_code": "US",
            "telephone_number": "978-374-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A89915",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "42588",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "231127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075836A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3136029",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484419",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.