DR. JYOTHIPRIYA JAGANNATHAN (M.D) – Diagnostic Radiology Physician, NPI 1275740805

DR. JYOTHIPRIYA JAGANNATHAN (M.D) is a healthcare provider. based in Jamaica plain, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D. They hold a License No. 226650 (MA). The NPI Number for DR. JYOTHIPRIYA JAGANNATHAN (M.D) is 1275740805

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JYOTHIPRIYA JAGANNATHAN (M.D)
NPI
1275740805
Phone
(732) 501-8896
Address
90 BYNNER ST
Enumeration Date
16 May 2007
Last Update Date
25 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087184000
Graduation Year
1997 (29 years ago)
PAC ID
1355438573
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20071103000044
Address ID
MA020351375FO20XXXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for DR. JYOTHIPRIYA JAGANNATHAN (M.D)

  • 90, Bynner Street, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States

    #4

    JAMAICA PLAIN, MA 021301001

    Phone: (732) 501-8896

    Type: Location

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    BRIGHAM AND WOMEN'S HOSPITAL, RADIOLOGY

    BOSTON, MA 021156110

    Phone: (732) 501-8896

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071103000044IDiagnostic RadiologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml91514$0
74177Ct scan of abdomen and pelvis with contrast784743$0
74183Mri scan of abdomen before and after contrast176172$0
72197Mri scan of pelvis before and after contrast8986$0
74176Ct scan of abdomen and pelvis without contrast8380$0
View full utilization report →

Insurance plans in this area (ZIP 02130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Where can patients find DR. JYOTHIPRIYA JAGANNATHAN (M.D)'s NPI?
You can confirm DR. JYOTHIPRIYA JAGANNATHAN (M.D) with NPI 1275740805; it appears in the national provider directory.
Is DR. JYOTHIPRIYA JAGANNATHAN (M.D) currently active in the NPI registry?
CMS-published data lists DR. JYOTHIPRIYA JAGANNATHAN (M.D) as an active registrant.
What does DR. JYOTHIPRIYA JAGANNATHAN (M.D) treat or focus on?
Patients typically see DR. JYOTHIPRIYA JAGANNATHAN (M.D) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JYOTHIPRIYA JAGANNATHAN (M.D)?
The page summarizes Jamaica Plain, Massachusetts for DR. JYOTHIPRIYA JAGANNATHAN (M.D); expand the address list for detail.
Is DR. JYOTHIPRIYA JAGANNATHAN (M.D) a real provider?
This page reflects official NPPES data for NPI 1275740805. Always confirm identity and privileges with the practice and licensing boards.

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