JOHN PAUL NSUBUGA MD
NPI 1164089777
Internal Medicine - Gastroenterology in Medford, MA

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5100 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, May 20, 2019 (2 updates tracked since 2019).

About John Paul Nsubuga Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN PAUL NSUBUGA MD (NPI 1164089777) is an individual gastroenterology provider in Medford, Massachusetts, licensed in Massachusetts (1022948) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1164089777
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOHN PAUL NSUBUGACredential: MD
Location Address26 CITY HALL MALLMedford, MA 02155-4754
Mailing Address26 City Hall MallMedford, MA 02155-4754 · (781) 306-5100
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1164089777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in MA · 1022948 Licensed in RI · LP05518
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 279943 (MA)
26 CITY HALL MALL, Medford, MA 02155

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-7378

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Paul Nsubuga Md 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.

PECOS PAC ID8022344795
PECOS Enrollment IDI20250620002684
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Adult Health)
26 CITY HALL MALL
MEDFORD, MA 02155
Pediatrics
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Family)
26 CITY HALL MALL
MEDFORD, MA 02155
Psychologist (Clinical)
26 CITY HALL MALL
MEDFORD, MA 02155
Dietitian, Registered
26 CITY HALL MALL
MEDFORD, MA 02155
Obstetrics & Gynecology
26 CITY HALL MALL
MEDFORD, MA 02155
Nurse Practitioner (Women's Health)
26 CITY HALL MALL
MEDFORD, MA 02155

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 Paul Nsubuga's NPI number?

The NPI number for John Paul Nsubuga is 1164089777. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is John Paul Nsubuga located?

John Paul Nsubuga practices at 26 City Hall Mall, Medford, MA 02155. The listed phone number is (781) 306-5100.

What is John Paul Nsubuga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Paul Nsubuga enrolled in Medicare?

Yes. John Paul Nsubuga 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.

Is John Paul Nsubuga affiliated with any hospitals?

According to CMS data, John Paul Nsubuga is affiliated with Emerson Hospital - and Winchester Hospital.

When was this NPI record last updated?

The NPPES record for John Paul Nsubuga was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.