Active NPI
John N Pandiscio, M.D.
- Family Medicine Physician
- Hopkinton, MA
National Provider Identifier
1740286715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0044953
- Practice address
- 169 W Main St
Hopkinton, MA 01748-2175 - Phone
- (508) 435-6903
- Fax
- (508) 435-2311
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0044953 | MA | Primary |
Addresses
Primary practice location
169 W Main St
Hopkinton, MA 01748-2175
Mailing address
169 W Main St
Hopkinton, MA 01748-2175
Phone (508) 435-6903
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074053002 | Other | MA | CIGNA |
| 4692 | Other | MA | FALLON |
| 2000000364 | Other | MA | HARVID PILGRIM HEALTH CAR |
| 6193358 | Medicaid | MA | |
| 709859 | Other | MA | TUFTS HEALTH PLAN |
| 0102037 | Other | MA | UNITED HEALTHCARE |
| J04562 | Other | MA | BLUE CROSS& BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0044953 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740286715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W MAIN ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017482175",
"telephone_number": "508-435-6903",
"fax_number": "508-435-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W MAIN ST",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017482175",
"telephone_number": "508-435-6903",
"fax_number": "508-435-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDISCIO",
"first_name": "JOHN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "0044953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0074053002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "4692",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVID PILGRIM HEALTH CAR",
"identifier": "2000000364",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6193358",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "709859",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0102037",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS& BLUE SHIELD",
"identifier": "J04562",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.