JACK M KIRICHIAN (MD) – Internal Medicine Physician, NPI 1538258199

JACK M KIRICHIAN (MD) is a healthcare provider. based in Middleboro, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 229852 (MA). The NPI Number for JACK M KIRICHIAN (MD) is 1538258199

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JACK M KIRICHIAN (MD)
NPI
1538258199
Phone
(508) 923-6471
Address
511 W GROVE ST
Enumeration Date
12 October 2006
Last Update Date
20 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087721438
Graduation Year
1996 (30 years ago)
PAC ID
4789682592
Group Practice PAC ID
0749715795
Professional Enrollment ID
I20061109000570
Address ID
MA020351394FO15XXXRDXX303
Telehealth
Yes
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

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for JACK M KIRICHIAN (MD)

  • 511, West Grove Street, Middleborough, Plymouth County, Massachusetts, 02349, United States

    MIDDLEBORO, MA 023461458

    Phone: (508) 923-6471

    Fax: (508) 923-6474

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 230 Open Payments records for all available years, with a total value of $5,467.

Total Amount is formed as General ($5,467) + Research ($0) + Ownership ($0) = $5,467.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,026).

Total Amount

$5,467

General + Research + Ownership

Payments

230

Total payment records

General Amount

$5,467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-11-09

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
I20061109000570IInternal MedicineMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,693587$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit488488$0
G0444Annual depression screening, 5 to 15 minutes324324$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report120102$0
85610Blood test, clotting time11816$0
View full utilization report →

Insurance plans in this area (ZIP 02346)

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Provider's Procedures

JACK M KIRICHIAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMA85610Blood test, clotting time17817
INTERNAL MEDICINEMA90670Pneumococcal vaccine for injection into muscle110110

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: 0749715795View full group profile
NameSpecialtyState
Family PracticeMA
Family PracticeMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineMA
Internal MedicineMA
R H E U M A T O L O G YMA
Nurse PractitionerMA
Nurse PractitionerRI
Nurse PractitionerNH

Reviews

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Frequently asked questions

Where can patients find JACK M KIRICHIAN (MD)'s NPI?
You can confirm JACK M KIRICHIAN (MD) with NPI 1538258199; it appears in the national provider directory.
Is JACK M KIRICHIAN (MD) active in the national directory?
JACK M KIRICHIAN (MD)'s public NPI profile is in an active state.
Can you summarize JACK M KIRICHIAN (MD)'s specialty in plain language?
Clinically, the directory lists JACK M KIRICHIAN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JACK M KIRICHIAN (MD)?
The snapshot lists Middleboro, Massachusetts for JACK M KIRICHIAN (MD); download NPPES for the complete set.
How can I contact JACK M KIRICHIAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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