Active NPI
John J. Pan, M.D.
- Diagnostic Radiology Physician
- South Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 231127
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (617) 784-0001
- NPI assigned
- Apr 20, 2007
- Last updated
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110075836A | Medicaid | MA | |
| 3136029 | Medicaid | NH | |
| 484419 | Medicaid | AZ |
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
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A89915 | CA | MD | Diagnostic Radiology Physician |
| 231127 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Shields Healthcare of Cambridge, Inc. | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Shields MRI & Imaging Center of Cape Cod, LLC | Current | Accepting new patients | |
| Neighborhealth Corporation | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Shields Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| South Shore Radiological Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Shields MRI of Framingham, LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | 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
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Diagnostic Radiology Physician
- South Weymouth, MA
- NPI 1518984319
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Hyannis, MA
- NPI 1073240586
-
- Diagnostic Radiology Physician
- Natick, MA
- NPI 1518913805
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
-
dba Tewksbury Hospital
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Transitional Care Center and Stabilization Care Center
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
dba South Boston Community Health Center
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
dba Greater Roslindale Medical and Dental Center
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
dba Dorchester House Multi Service Center
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
dba East Boston Neighborhood Health Center
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.