Individual provider Active NPI

Janice Thai, M.D.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1568691392
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
287283 Issued in MA
Practice address
55 Fruit St BLDG 210
Boston, MA 02114-2696
Phone
(617) 724-9634
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 73425 WI
Diagnostic Radiology Physician 2085R0202X 287283 MA Primary

Addresses

Primary practice location

55 Fruit St BLDG 210
Boston, MA 02114-2696

Mailing address

55 Fruit St BLDG 210
Boston, MA 02114-2696
Phone (617) 724-9634

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Boston Massachusetts General Hospital
Direct Messaging Address jthai1134489@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200616003066 WI Practitioner - Diagnostic Radiology 1759626294 Reassigns benefits to 3 organizations
I20210823000362 MA Practitioner - Diagnostic Radiology 1759626294 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
287283MAMDDiagnostic Radiology Physician
73425WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 21, 2022 Accepting new patients
Nantucket Cottage Hospital CurrentSince Jan 21, 2022 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Oct 21, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 8, 2021 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
General Hospital Corp Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Jul 8, 2021 Accepting new patients
Nantucket Physicians Organization CurrentSince Jan 21, 2022 Accepting new patients
Fort Healthcare Inc Current Accepting new patients

Locations

55 Fruit St
Bldg 210
Boston, MA 02114
Phone (617) 724-9634

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: thai.janice.mgh@direct.partners.masshiway.net

Organizations & group practices 11

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 5

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1568691392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST BLDG 210",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-724-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST BLDG 210",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-724-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "73425",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "287283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boston",
            "affiliation": "Y",
            "affiliationName": "Massachusetts General Hospital",
            "address_1": "55 Fruit St Bldg 210",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthai1134489@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.