NPIMap

Individual provider Active NPI

Jonathan P Vaccaro, MD

  • Diagnostic Radiology Physician
  • Exeter, NH
National Provider Identifier
1861415457
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11744 Issued in NH
Practice address
5 Alumni Drive
Exeter, NH 03833-2128
Phone
(603) 580-6608
Fax
(603) 580-6707
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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 11744 NH Primary

Addresses

Primary practice location

5 Alumni Drive
Exeter, NH 03833-2128

Mailing address

PO Box 1849
Lewiston, ME 04241-1849
Phone (207) 784-2554

Other identifiers 8

IdentifierTypeStateIssuer
5082650OtherAETNA
2373550OtherCIGNA
30203112MedicaidNH
01Y004131NH01OtherNHANTHEM
1861415457OtherBMC HEALTHNET PLAN
336510099MedicaidME
300134469OtherRAILROAD MEDICARE
3202313MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100302000737 NH Practitioner - Diagnostic Radiology 7416926290 Reassigns benefits to 4 organizations
I20190730003517 ME Practitioner - Diagnostic Radiology 7416926290 Reassigns benefits to 3 organizations
I20220324001949 CA Practitioner - Diagnostic Radiology 7416926290 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yorkrad LLCGroup PAC ID 9133594740, 14 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians
California Managed Imaging Medical Group IncGroup PAC ID 9436229887, 76 clinicians
Mineral King Radiological Medical Group IncGroup PAC ID 2163321720, 18 clinicians

Practice addresses (Care Compare)

10 Chestnut St
Apt 2103
Exeter, NH 03833-1895
Phone (781) 979-3000

106 Meadows LN
Santa Barbara, CA 93105-4141
Phone (401) 862-1771

3 Loving Kindness Way
York, ME 03909
Phone (207) 363-4321

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

Merit-based Incentive Payment System (MIPS)

Final score
80.17 of 100Reported as individual
Quality
76.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11744NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
California Managed Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Core Physicians, LLC CurrentSince Sep 27, 2019 Accepting new patients
Core Physicians LLC CurrentSince Sep 27, 2019 Accepting new patients
Yorkrad LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
York Hospital CurrentSince Oct 17, 2022 Accepting new patients
Franklin Imaging, PLLC Diagnostic Radiology CurrentSince Sep 21, 2021 Accepting new patients
Advanced Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Aug 27, 2002 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

Dept LA 21738
Pasadena, CA 91185

2320 Bath St
Ste 113
Santa Barbara, CA 93105
Phone (805) 560-8111

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1700 S Court St
Ste F
Visalia, CA 93277
Phone (559) 734-9244

1700 S Court St
Ste A
Visalia, CA 93277
Phone (559) 734-5674

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

96 Calef Hwy
Unit 6
Epping, NH 03042
Phone (603) 679-5114

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

7 Holland Way
#1
Exeter, NH 03833

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

605 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 427-6600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1861415457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DRIVE",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6608",
            "fax_number": "603-580-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "11744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5082650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2373550",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30203112",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "01Y004131NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "1861415457",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336510099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300134469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202313",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.