{"npi":"1477520930","type":"NPI-1","status":"active","name":{"display":"Dr. Jorge Medina M.D.","other":[],"first":"JORGE","last":"MEDINA","middle":"M","credential":"M.D."},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"MA","license":"205001"}]},"addresses":[{"purpose":"LOCATION","street_1":"55 LAKE AVE N","city":"WORCESTER","state":"MA","postal_code":"016550002","country_code":"US","phone":"5083343850","fax":"5088561860"},{"purpose":"MAILING","street_1":"960 MASSACHUSETTS AVE","city":"BOSTON","state":"MA","postal_code":"02118","country_code":"US","street_2":"FL 2"}],"license":{"state":"MA","number":"205001"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110002970A","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050202000228","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MA","pac_id":"8123079621"},{"enrlmt_id":"I20060731000435","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WA","pac_id":"8123079621"}]},"enumeration_date":"2006-03-03","last_updated":"2026-02-20","_meta":{"source":"NPPES","snapshot_date":"2026-02-20","doc_url":"https://findmynpi.com/api"}}