Active NPI
Jon S Dubois, M.D.
- Hematology & Oncology Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 74131
- Practice address
- 131 Ornac
John Cumming BLDG #200
Concord, MA 01742-4181 - Phone
- (978) 287-3436
- Fax
- (978) 287-3642
- NPI assigned
- Nov 14, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 74131 | MA | Primary |
Addresses
Primary practice location
131 Ornac
John Cumming BLDG #200
Concord, MA 01742-4181
Mailing address
10 Willard St
Quincy, MA 02169-1281
Phone (617) 479-1437
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B20309902 | Other | MA | CIGNA |
| 74131 | Other | MA | TUFTS HEALTH CARE |
| 9182 | Other | MA | HARVARD PILGRIM |
| J16090 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3136515 | Medicaid | MA | |
| 2554142 | Other | MA | AETNA US HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Drexel University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234
Hospital & facility affiliations
- Jupiter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients |
Locations
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695
1240 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 263-4400
1240 S Old Dixie Hwy
Fl 2
Jupiter, FL 33458
Phone (561) 263-4400
Interoperability endpoints
- jdubois23011@jupitermedicalcenter.direct-ci.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1922080241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691281",
"telephone_number": "617-479-1437",
"fax_number": "617-479-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ORNAC",
"address_2": "JOHN CUMMING BLDG #200",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424181",
"telephone_number": "978-287-3436",
"fax_number": "978-287-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "JON",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MA",
"license": "74131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "B20309902",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "74131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "9182",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J16090",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3136515",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH",
"identifier": "2554142",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.