Individual provider Active NPI

Joseph R. Polino Jr., MD

  • Diagnostic Radiology Physician
  • Northampton, MA
National Provider Identifier
1669433439
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220682 Issued in MA
Practice address
30 Locust St
Northampton, MA 01060-2052
Phone
(413) 582-2101
Fax
(413) 582-2949
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220682 MA Primary

Addresses

Primary practice location

30 Locust St
Northampton, MA 01060-2052

Mailing address

291 Moody St
Ludlow, MA 01056-1246
Phone (800) 688-6663

Other identifiers 7

IdentifierTypeStateIssuer
J27703OtherMABCBS MA
3572396OtherMAAETNA
6333619OtherMACIGNA
AA14325OtherMAHARVARD PILGRIM
469274OtherMATUFTS
2078708MedicaidMA
000000028269OtherMABMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20040824000959 MA Practitioner - Diagnostic Radiology 3577537679 Reassigns benefits to 6 organizations
I20240918000649 NH Practitioner - Diagnostic Radiology 3577537679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

30 Locust St
Northampton, MA 01060-2052
Phone (978) 354-4181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooley Dickinson Hospital Inc Current Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Oct 27, 2019 Accepting new patients
New England Medical Imaging, PC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Shields Pet CT at Cooley Dickinson Hospital LLC CurrentSince Apr 12, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jul 1, 2020 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

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

55 Fruit St
Boston, MA 02114

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

87 N Main St
Leominster, MA 01453
Phone (800) 688-6663

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

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: polino.joseph.cdh@direct.partners.masshiway.net

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669433439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MOODY ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561246",
            "telephone_number": "800-688-6663",
            "fax_number": "413-589-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2101",
            "fax_number": "413-582-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINO",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "220682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J27703",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3572396",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6333619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA14325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469274",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078708",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000028269",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.