DR. JASON L. PORT M.D. NPI 1114033396

NPI Information

  • NPI: 1114033396
  • Provider Name: DR. JASON L. PORT, M.D.
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3640 MAIN ST
    SUITE 101
    SPRINGFIELD, MA
    ZIP 01107
  • Phone: (413) 781-9000

Map and Directions

Get Directions

NPI Details

DR. Jason L. Port, M.D. is a neuroradiology radiology in Springfield, MA with 38 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Jason L. Port, M.D. NPI is 1114033396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1988

The provider's business location address is:

3640 MAIN ST
SUITE 101
SPRINGFIELD, MA
ZIP 01107-145
Phone: (413) 781-9000
Fax: (413) 781-7988

The NPI 1114033396 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan head or brain without contrast (HCPCS:70450)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology151546MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A21431MEDICARE PINMASSACHUSETTS
2J16771OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD OF MASSACHUSETTS
33154656MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.