Individual provider Active NPI

Joshua A Jadwin, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1689104291
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036167135 Issued in IL
Practice address
2100 Dorchester Ave
Boston, MA 02124-5615
Phone
(617) 506-2726
Fax
(617) 506-2110
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272755 MA
Diagnostic Radiology Physician 2085R0202X 2023037329 MO
Diagnostic Radiology Physician 2085R0202X 036167135 IL Primary

Addresses

Primary practice location

2100 Dorchester Ave
Boston, MA 02124-5615

Mailing address

11 Cranston St Apt 2
Boston, MA 02130-1805
Phone (585) 610-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, IL, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230606001279 MA Practitioner - Diagnostic Radiology 6002273133 Reassigns benefits to 2 organizations
I20240112001924 IL Practitioner - Diagnostic Radiology 6002273133
I20250314002306 OH Practitioner - Diagnostic Radiology 6002273133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Lumina ImagingGroup PAC ID 0547660961, 25 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

8401 Mentor Ave
Suite B
Mentor, OH 44060-5843
Phone (440) 592-6095

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272755MAMDInternal Medicine Physician
036167135ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Internal Medicine CurrentSince Feb 18, 2025 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince May 25, 2023 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Feb 26, 2025 Accepting new patients
The Metrohealth System CurrentSince Feb 18, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 31, 2023 Accepting new patients
Crawford Hospital District Past Accepting new patients
Blessing Hospital Past Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

100 Medical Dr
Hannibal, MO 63401

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

8401 Mentor Ave
Ste B
Mentor, OH 44060
Phone (440) 592-6095

Interoperability endpoints

  • Direct secure messaging: jjadwin299757@direct.metrohealth.org

Organizations & group practices 8

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 2

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1689104291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CRANSTON ST APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301805",
            "telephone_number": "585-610-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-506-2726",
            "fax_number": "617-506-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADWIN",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "272755",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2023037329",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036167135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.