Individual provider Active NPI

John Albert Ragucci, M.D.

  • Family Medicine Physician
  • Tewksbury, MA
National Provider Identifier
1487601654
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77556 Issued in MA
Practice address
1565 Main St
#101
Tewksbury, MA 01876-2085
Phone
(978) 323-2819
Fax
(978) 323-2821
NPI assigned
May 31, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77556 MA Primary

Addresses

Primary practice location

1565 Main St
#101
Tewksbury, MA 01876-2085

Mailing address

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 323-2819

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000843 MA Practitioner - Family Practice 9830126531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

1565 Main St
Suite 2
Tewksbury, MA 01876-4735
Phone (978) 328-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. Family Medicine CurrentSince Mar 31, 2013 Accepting new patients
LGH Professional Services LLC Past Accepting new patients
LGH Physician Associates, Inc Family Medicine Past Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

1565 Main St
Ste 101
Tewksbury, MA 01876
Phone (978) 323-2819

1565 Main St
Ste 2
Tewksbury, MA 01876
Phone (978) 257-1564

1574 Main St
Ste 200
Tewksbury, MA 01876
Phone (978) 323-2819

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.

Hospital & facility affiliations 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1487601654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762067",
            "telephone_number": "978-323-2819",
            "fax_number": "978-323-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST",
            "address_2": "#101",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762085",
            "telephone_number": "978-323-2819",
            "fax_number": "978-323-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUCCI",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "77556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.