Individual provider Active NPI

Dmitriy Kireyev, MD

  • Cardiovascular Disease Physician
  • Everett, MA
National Provider Identifier
1003144528
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
245639 Issued in MA
Practice address
103 Garland St
Everett, MA 02149-5066
Phone
(781) 394-7731
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 245639 MA Primary
Internal Medicine Physician 207R00000X 250579-1 NY

Addresses

Primary practice location

103 Garland St
Everett, MA 02149-5066

Mailing address

103 Garland St
Everett, MA 02149-5066
Phone (781) 394-7731

Other practice location 1

23 Warren Ave Ste 100
Woburn, MA 01801-4979
Phone (781) 933-1198

Other identifiers 1

IdentifierTypeStateIssuer
110087726AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000948 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133313273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Boston University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Israel Lahey Health Primary Care, IncGroup PAC ID 7719291434, 351 clinicians
Newburyport Cardiovascular Associates, LLCGroup PAC ID 0143548198, 9 clinicians

Practice addresses (Care Compare)

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

7 Henry Graf Jr Rd
Newburyport, MA 01950-4014
Phone (978) 462-1110

Hospital & facility affiliations

  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250579-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburyport Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

7 Henry Graf Jr Rd
Ste 1A
Newburyport, MA 01950
Phone (978) 462-1110

7 Henry Graf Jr Rd
Newburyport, MA 01950
Phone (978) 255-4607

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBDAA/Endpoint/GIBDAA
  • FHIR API: https://api.platform.athenahealth.com/19725/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dkireyev60514@direct.bilh.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1003144528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GARLAND ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495066",
            "telephone_number": "781-394-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GARLAND ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495066",
            "telephone_number": "781-394-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Warren Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018014979",
            "country_code": "US",
            "telephone_number": "781-933-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIREYEV",
        "first_name": "DMITRIY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "245639",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250579-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087726A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

Verify at the official NPI Registry.