NPIMap

Individual provider Active NPI

Jacqueline A Tung, MD

  • Diagnostic Radiology Physician
  • Somerville, MA
National Provider Identifier
1255502027
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
242443 Issued in MA
Practice address
50 Howard St
Unit 3
Somerville, MA 02144-2735
Phone
(617) 764-2796
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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 242443 MA Primary

Addresses

Primary practice location

50 Howard St
Unit 3
Somerville, MA 02144-2735

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000055 MA Practitioner - Diagnostic Radiology 3971634080 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

242 Green St
Gardner, MA 01440-1336
Phone (978) 632-3420

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Radiology Cra LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Mar 1, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Mar 1, 2019 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince May 1, 2019 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Mar 1, 2019 Accepting new patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5000

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

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 and National Provider Directory roles.

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1255502027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOWARD ST",
            "address_2": "UNIT 3",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442735",
            "telephone_number": "617-764-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "242443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.