Individual provider Active NPI

John A Mungovan, MD

  • Diagnostic Radiology Physician
  • Fall River, MA
National Provider Identifier
1245279975
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
150247 Issued in MA
Practice address
363 Highland Ave
Radiology Department
Fall River, MA 02720-3703
Phone
(508) 677-9729
Fax
(508) 679-4728
NPI assigned
Jun 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 150247 MA Primary

Addresses

Primary practice location

363 Highland Ave
Radiology Department
Fall River, MA 02720-3703

Mailing address

484 Highland Ave
Radiology Department
Fall River, MA 02720-3704
Phone (508) 677-9729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20101201000759 MA Practitioner - Diagnostic Radiology 7113954595 Reassigns benefits to 1 organization
I20170220000046 RI Practitioner - Diagnostic Radiology 7113954595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Radiology IncGroup PAC ID 9931404084, 22 clinicians

Practice addresses (Care Compare)

22 Robbins Dr
Barrington, RI 02806-2612
Phone (508) 961-5856

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-7136

672 Aquidneck Ave
Middletown, RI 02842-5795
Phone (508) 961-5856

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.59 of 100Reported as group
Quality
82.73
Improvement activities
40
Cost
81.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New England Radiology Inc Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

300B Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-1020

672 Aquidneck Ave
Middletown, RI 02842
Phone (401) 847-0519

Interoperability endpoints

  • Direct secure messaging: jmungovan20953@direct.southcoast.org

Organizations & group practices 1

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 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245279975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HIGHLAND AVE",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203704",
            "telephone_number": "508-677-9729",
            "fax_number": "508-679-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVE",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203703",
            "telephone_number": "508-677-9729",
            "fax_number": "508-679-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGOVAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "150247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.