JOHN K MUKAI M.D.
NPI 1033159249
Radiology - Diagnostic Radiology in Templeton, MA
About John K Mukai M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN K MUKAI M.D. (NPI 1033159249) is an individual diagnostic radiology provider in Templeton, Massachusetts, licensed in Massachusetts (48083) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (1980).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 15
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John K Mukai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Mukai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01608
- Reassigned Medicare billing, Massachusetts enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 52
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAHeywood Hospital
Acute Care Hospitals · Gardner, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAMetrowest Medical Center
Acute Care Hospitals · Framingham, MASt Vincent Hospital
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Mukai's NPI number?
The NPI number for John Mukai is 1033159249. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is John Mukai located?
John Mukai practices at 14 Rice Rd, Templeton, MA 01468. The listed phone number is (978) 939-2035.
What is John Mukai's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Mukai enrolled in Medicare?
Yes. John Mukai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Mukai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mukai reassigns Medicare benefits to Saint Vincent Radiological Associates Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mukai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Mukai accept?
Health plans from Taro Health list John Mukai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Mukai affiliated with any hospitals?
According to CMS data, John Mukai is affiliated with Umass Memorial Healthalliance Hospitals, Heywood Hospital, Umass Memorial Medical Center/University Campus, Metrowest Medical Center and St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for John Mukai was last updated on July 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.