Jacob Moshe Winograd, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

LP03991 Issued in RI

Practice address

1030 President Ave RM 304
Fall River, MA 02720-5923

Phone

(508) 235-6222

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 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

Specialty

Nephrology

Education

Rutgers New Jersey Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fall River Kidney Center LLC Dialysis facility, Fall River, MA, CCN 222516
• Dialysis Center of Tiverton Dialysis facility, Tiverton, RI, CCN 412508
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
• Southcoast Hospitals Group Inc. Inpatient rehabilitation facility, Fall River, MA, CCN 22T074

Merit-based Incentive Payment System (MIPS)

Final score

99.75 of 100Reported as group

Quality

95.01

Promoting interoperability

100

Improvement activities

40

Cost

72.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwinograd63811@direct.southcoast.org

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.

• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Fall River Nephrology, P.C.

  • Nephrology Physician
  • Fall River, MA
  • NPI 1407064348

  Multi-Specialty, RI

  Medicare reassignment NPD
• Southcoast Physicians Group, Inc.

  • Emergency Medicine Physician
  • Fairhaven, MA
  • NPI 1861830143

  Multi-Specialty

  NPD
• Southcoast Physicians Group, Inc.

  • Orthopaedic Surgery Physician
  • North Dartmouth, MA
  • NPI 1902201536

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ara-Tiverton Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tiverton, RI
  • NPI 1285745570

  Dialysis facility

  Care Compare affiliation Name & address match
• Southcoast Hospitals Group, Inc

  • General Acute Care Hospital
  • New Bedford, MA
  • NPI 1447275037

  Inpatient rehabilitation facility

  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation
• Southcoast Hospitals Group,Inc

  • Rehabilitation Hospital Unit
  • Fall River, MA
  • NPI 1750301636

  Inpatient rehabilitation facility

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1699204347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE RM 304",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "508-235-6222",
            "fax_number": "401-444-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE RM 304",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "508-235-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4741",
            "fax_number": "401-444-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINOGRAD",
        "first_name": "JACOB",
        "middle_name": "MOSHE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "LP03991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laqueitia S Wilson
• Michelle Lynn Wilson, LMHC
• Siobhan Wilson
• Faith Abigail Winchell
• Therese Marie Winnett, COTA/L
• Lynn Winquist, M.A.
• Jacqueline St. George Winslow
• Bonnie Winsor
• Mark Winsor
• Kayla Winter, DS

• Nephrology Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Nephrology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.