Active NPI
Jeanne Bari Ackman, M.D.
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 154307
- Practice address
- 55 Fruit St
MGH Department of Radiology, Founders House 2
Boston, MA 02114-2621 - Phone
- (617) 724-4254
- NPI assigned
- May 3, 2006
- Last updated
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 154307 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
MGH Department of Radiology, Founders House 2
Boston, MA 02114-2621
Mailing address
23 Nobscot Rd
Weston, MA 02493-1146
Phone (617) 724-4254
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000027977 | Other | BMC HEALTHNET | |
| 300137474 | Other | RAILROAD MEDICARE | |
| 39133 | Other | FALLON COMMUNITY HEALTH P | |
| J18419 | Other | MA | BLUE SHIELD OF MA |
| 250726 | Other | HARVARD PILGRIM HEALTH CA | |
| 3174212 | Medicaid | MA | |
| 774897 | Other | TUFTS HEALTH PLAN | |
| 0028726 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
Other names 1
- Dr. Jeanne Bari Ackman
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
- Yale University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
80 Everett Ave
Chelsea, MA 02150-2339
Phone (617) 887-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154307 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
75 Francis St
Boston, MA 02115
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
Interoperability endpoints
- ackman.jeanne.mgh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- 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": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1285692897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NOBSCOT RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024931146",
"telephone_number": "617-724-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "MGH DEPARTMENT OF RADIOLOGY, FOUNDERS HOUSE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-724-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKMAN",
"first_name": "JEANNE",
"middle_name": "BARI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "154307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000027977",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300137474",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "39133",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MA",
"identifier": "J18419",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "250726",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3174212",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "774897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0028726",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "ACKMAN",
"middle_name": "BARI",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.