Individual provider Active NPI

Jonathan R Arnow, MD

  • Diagnostic Radiology Physician
  • Marlborough, MA
National Provider Identifier
1194752899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
059475 Issued in MA
Practice address
157 Union St
Radiology Department
Marlborough, MA 01752-1228
Phone
(508) 486-5605
Fax
(508) 486-5506
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 059475 MA Primary

Addresses

Primary practice location

157 Union St
Radiology Department
Marlborough, MA 01752-1228

Mailing address

4 Carol LN
Lexington, MA 02420-4411
Phone (508) 486-5605

Other identifiers 1

IdentifierTypeStateIssuer
3035026MedicaidMA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050407000927 MA Practitioner - Diagnostic Radiology 3779556071 Reassigns benefits to 2 organizations
I20260515002638 CT Practitioner - Diagnostic Radiology 3779556071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Radiology Associates LLPGroup PAC ID 0749353951, 10 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059475MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Radiology Associates, LLP Diagnostic Radiology CurrentSince Feb 1, 2015 Accepting new patients
Shields Imaging at Anna Jaques Hospital LLC CurrentSince Mar 1, 2017 Accepting new patients
Northeast Radiology Associates, LLP Diagnostic Radiology Current Accepting new patients
Commonwealth Radiology Associates, Inc Past Accepting new patients
Forest Park MRI Associates, PC Past Accepting new patients
Marlborough Radiology Associates, Inc. Diagnostic Radiology PastSince Nov 16, 2005 Accepting new patients

Locations

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • Direct secure messaging: jarnow448835@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194752899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAROL LN",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204411",
            "telephone_number": "508-486-5605",
            "fax_number": "508-486-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 UNION ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521228",
            "telephone_number": "508-486-5605",
            "fax_number": "508-486-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOW",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "059475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035026",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.