NPIMap

Individual provider Active NPI

Katherine Helen Michener, M.D.

  • Nephrology Physician
  • Woburn, MA
National Provider Identifier
1013147529
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
250771 Issued in MA
Practice address
23 Warren Ave
Suite 150
Woburn, MA 01801-7906
Phone
(781) 933-0710
Fax
(781) 937-3947
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 250771 MA Primary

Addresses

Primary practice location

23 Warren Ave
Suite 150
Woburn, MA 01801-7906

Mailing address

23 Warren Ave
Suite 150
Woburn, MA 01801-7906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702001101 MA Practitioner - Nephrology 9032421169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
George Washington University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woburn Nephrology Associates PCGroup PAC ID 8820032485, 6 clinicians

Practice addresses (Care Compare)

5 Juniper LN
Dover, MA 02030-2146
Phone (508) 785-2284

92 Montvale Ave
Suite 2000
Stoneham, MA 02180-3654
Phone (781) 933-0710

Hospital & facility affiliations

  • DaVita Woburn Dialysis Dialysis facility, Woburn, MA, CCN 222520
  • DaVita Wellington Circle Dialysis Center Dialysis facility, Medford, MA, CCN 222542
  • FMC Services of Stoneham Dialysis facility, Stoneham, MA, CCN 222524
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Encompass Health Rehabilitation Hosp of New Englan Inpatient rehabilitation facility, Woburn, MA, CCN 223026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250771MAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woburn Nephrology Associates PC Nephrology CurrentSince Jul 1, 2015 Accepting new patients
Personal Best Chiropractic LLC PastSince Apr 1, 2022 Accepting new patients

Locations

92 Montvale Ave
Ste 2000
Stoneham, MA 02180
Phone (781) 435-2284

23 Warren Ave
Ste 150
Woburn, MA 01801
Phone (781) 933-0710

Interoperability endpoints

  • Direct secure messaging: kmichener28796@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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 10

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1013147529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "SUITE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WARREN AVE",
            "address_2": "SUITE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017906",
            "telephone_number": "781-933-0710",
            "fax_number": "781-937-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHENER",
        "first_name": "KATHERINE",
        "middle_name": "HELEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "250771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.