NPIMap

Individual provider Active NPI

Paul G Jodka, MD

  • Interventional Pain Medicine Physician
  • Northampton, MA
National Provider Identifier
1417061243
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
153137 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(413) 582-2441
Fax
(413) 582-2472
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 153137 MA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 153137 MA

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

30 Locust St
Northampton, MA 01060
Phone (413) 582-2441

Other identifiers 1

IdentifierTypeStateIssuer
110060193AMedicaidMA

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
I20100111000534 MA Practitioner - Hospice/Palliative CarePractitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 3870634991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Pain Management
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Dickinson Hospital Inc Interventional Pain Medicine Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Aug 6, 2018 Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients
Pioneer Spine and Sports Physicians, PC PastSince Jun 23, 2003 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients
Connecticut Spine and Sports Physicians, Inc. Past Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Interoperability endpoints

  • Direct secure messaging: jodka.paul.cdh@direct.partners.masshiway.net

Organizations & group practices 9

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 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1417061243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-582-2441",
            "fax_number": "413-582-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2441",
            "fax_number": "413-582-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODKA",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "153137",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "153137",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110060193A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.