NPIMap

Individual provider Active NPI

Jayson R. St. Jacques, M.D.

  • Diagnostic Radiology Physician
  • Springfield, MA
National Provider Identifier
1629035183
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
212693 Issued in MA
Practice address
271 Carew St
Springfield, MA 01104-2377
Phone
(413) 748-9200
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 212693 MA
Nuclear Imaging & Therapy Physician 207UN0902X 212693 MA
Nuclear Radiology Physician 2085N0904X 212693 MA
Diagnostic Radiology Physician 2085R0202X 212693 MA Primary

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104-2377

Mailing address

291 Moody St
Pdi, Inc, C/O McKesson
Ludlow, MA 01056-1246
Phone (413) 755-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040517001404 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2961492293 Reassigns benefits to 5 organizations
I20130404000162 CT Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2961492293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Springfield MRI Limited Partnership CurrentSince Jul 25, 2003 Accepting new patients
Franklin MRI Center LLC CurrentSince Oct 1, 2024 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Radiology Associates of Hartford PLLC Nuclear Medicine CurrentSince Dec 1, 2022 Accepting new patients
Rocky Hill Imaging Center, LLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Baystate MRI & Imaging Center, LLC CurrentSince Oct 1, 2024 Accepting new patients
Imaging Consultants Inc CurrentSince Nov 21, 2000 Accepting new patients
Providence Diagnostic Imaging, Inc. Nuclear Radiology CurrentSince Jul 1, 2003 Accepting new patients
Franklin MRI Center LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

701 Enfield St
Enfield, CT 06082
Phone (413) 748-6484

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

291 Moody St
Ludlow, MA 01056
Phone (800) 688-6663

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 10

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 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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1629035183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MOODY ST",
            "address_2": "PDI, INC, C/O MCKESSON",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561246",
            "telephone_number": "413-755-2006",
            "fax_number": "770-666-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JACQUES",
        "first_name": "JAYSON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MA",
            "license": "212693",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MA",
            "license": "212693",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MA",
            "license": "212693",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "212693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.