Active NPI
Joan M McDonagh, MD
- Pediatrics Physician
- Westborough, MA
National Provider Identifier
1609843598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 156420
- Practice address
- 900 Union St
Westborough, MA 01581-5408 - Phone
- (508) 898-2338
- Fax
- (508) 366-9938
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 156420 | MA | Primary |
Addresses
Primary practice location
900 Union St
Westborough, MA 01581-5408
Mailing address
630 Plantation St
Worcester, MA 01605
Phone (508) 898-2338
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33750 | Other | FALLON COMMUNITY HEALTH P | |
| J19162 | Other | BLUE SHIELD IDEMNITY | |
| 784160 | Other | MVP HEALTH CARE | |
| 110059991A | Medicaid | MA | |
| 37276 | Other | CHILDRENS MEDICAL SECURIT | |
| AA1258 | Other | HARVARD PILGRIM HEALTHCAR | |
| 8681031 | Other | CIGNA HEALTH PLAN | |
| 042472266 | Other | THREE RIVERS | |
| 042472266 | Other | TRICARE CHAMPUS | |
| 3181740 | Other | HEALTHY START | |
| 7689513 | Other | AETNA US HEALTHCARE | |
| A28407 | Other | MEDICARE B | |
| J19162 | Other | BLUE SHIELD HMO BLUE | |
| 042472266 | Other | HEALTHCARE VALUE MANAGEME | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 2039844 | Other | FIRST HEALTH | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| J19162 | Other | BLUE CARE ELECT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Tufts Medical Center, Inc. | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
Interoperability endpoints
- joan.mcdonagh.npi1609843598.reliant@direct.optumcare.masshiway.net
- jmcdonagh29240@tuftsmedicine.direct-ci.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1609843598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-898-2338",
"fax_number": "508-366-9938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 UNION ST",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015815408",
"telephone_number": "508-898-2338",
"fax_number": "508-366-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONAGH",
"first_name": "JOAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "156420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "33750",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD IDEMNITY",
"identifier": "J19162",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784160",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110059991A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "37276",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA1258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "8681031",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "3181740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7689513",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "A28407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "J19162",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2039844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J19162",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.