Active NPI
Jorge M Medina, M.D.
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 205001
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-3850
- Fax
- (508) 856-1860
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- 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 | 205001 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
960 Massachusetts Ave
FL 2
Boston, MA 02118
Other practice location 1
10 Gove St
East Boston, MA 02128
Phone (617) 569-5800
Other practice location 2
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-2762
Other practice location 3
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-2665
Other practice location 4
840 Harrison Ave
Boston, MA 02118
Phone (617) 638-6610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110002970A | Medicaid | MA | |
| 3127828 | Medicaid | NH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jmedina19482@UmassMemorial.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University Central del Caribe Escuela de Medicina, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000
Hospital & facility affiliations
- Boston Medical Center-Brighton
- Good Samaritan Medical Center
- Dana-Farber Cancer Institute
- Heywood Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205001 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Umass Memorial Radiology Phys Serv | Diagnostic Radiology | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Caritas Medical Group Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
88 Newton St
Boston, MA 02118
Phone (617) 638-7350
960 Massachusetts Ave
Ste 2
Boston, MA 02118
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556
340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600
10 Little Brook Rd
West Wareham, MA 02576
55 Lake Ave N
#S2824
Worcester, MA 01655
Phone (508) 334-2710
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699
Interoperability endpoints
- jmedina19482@umassmemorial.direct-ci.com
- jmedina252302@direct.bmc.masshiway.net
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
Diagnostic Radiology
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Diagnostic Radiology Physician
- Worcester, MA
- NPI 1639122096
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1760498034
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1477520930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118"
},
{
"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": "016550002",
"telephone_number": "508-334-3850",
"fax_number": "508-856-1860"
}
],
"practiceLocations": [
{
"address_1": "10 Gove St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "02128",
"country_code": "US",
"telephone_number": "617-569-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Cambridge St",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021352907",
"country_code": "US",
"telephone_number": "617-789-2762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 N Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011794",
"country_code": "US",
"telephone_number": "508-427-2665",
"fax_number": "508-427-2368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02118",
"country_code": "US",
"telephone_number": "617-638-6610",
"fax_number": "617-638-6616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "JORGE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "205001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110002970A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3127828",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N # S2-824",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmedina19482@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N # S2-824",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.