Individual provider Active NPI

William C Juan, MD

  • Diagnostic Radiology Physician
  • Worcester, MA
National Provider Identifier
1376047803
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
294516 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655
Phone
(508) 334-3850
NPI assigned
Mar 20, 2018
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 294516 MA Primary
Diagnostic Radiology Physician 2085R0202X 79144 CT

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, CT, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240930001721 PA Practitioner - Diagnostic Radiology 8325374663 Reassigns benefits to 7 organizations
I20250326000030 NJ Practitioner - Diagnostic Radiology 8325374663 Reassigns benefits to 2 organizations
I20250620003493 CT Practitioner - Diagnostic Radiology 8325374663 Reassigns benefits to 4 organizations
I20251006001556 NY Practitioner - Diagnostic Radiology 8325374663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians
Princeton Radiology Associates PAGroup PAC ID 8022003367, 57 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (609) 585-8800

100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375

1000 S Broad St
Apt 835
Philadelphia, PA 19146-2261
Phone (952) 905-5602

3120 Princeton Pike
FL 1a
Lawrenceville, NJ 08648-2325
Phone (609) 585-8800

36 Pine Valley Rd
Doylestown, PA 18901-2114
Phone (860) 289-3375

419 N Harrison St
Princeton, NJ 08540-3521
Phone 73282155631242

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280332MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Radiology Associates, P.a. Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jun 22, 2025 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Sep 25, 2024 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Nov 10, 2025 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients

Locations

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 13

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.

View all 13

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1376047803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "508-334-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-681-5551",
            "fax_number": "813-916-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "294516",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "79144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.