Individual provider Active NPI

Eric Scott Kerns, MD

  • Nephrology Physician
  • Burlington, MA
National Provider Identifier
1013189174
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD14328 Issued in RI
Practice address
41 Mall Road
Lahey Hospital & Medical Center
Burlington, MA 01805-0001
Phone
(781) 744-8430
Fax
(781) 744-5397
NPI assigned
Mar 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD14328 RI Primary
Nephrology Physician 207RN0300X 261074 MA

Addresses

Primary practice location

41 Mall Road
Lahey Hospital & Medical Center
Burlington, MA 01805-0001

Mailing address

110 Elm St
Providence, RI 02903-4626
Phone (877) 771-7401

Other practice location 1

375 Wampanoag Trl Ste 302A
Riverside, RI 02915-2235
Phone (401) 649-4060

Other identifiers 1

IdentifierTypeStateIssuer
110103802AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130919000538 RI Practitioner - Nephrology 9032364898 Reassigns benefits to 3 organizations
I20180115000800 MA Practitioner - Nephrology 9032364898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

375 Wampanoag TRL
Suite 402
Riverside, RI 02915-2237
Phone (401) 649-4000

70 Kenyon Ave
Unit 211
Wakefield, RI 02879-4241
Phone (401) 789-8543

Hospital & facility affiliations

  • The Dialysis Center of Rhode Island Hospital Dialysis facility, Providence, RI, CCN 413500
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261074MAMDNephrology Physician
MD14328RIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Feb 5, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Silver Spring Health Care Management, Inc. Nephrology CurrentSince Oct 1, 2020 Accepting new patients
Silver Spring Health Care Management, Inc. Nephrology Current Accepting new patients
Lifespan Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Lahey Clinic, Inc CurrentSince Feb 5, 2018 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Fl 9
Providence, RI 02903

593 Eddy St
Providence, RI 02903

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

375 Wampanoag Trl
Ste 402
Riverside, RI 02915
Phone (401) 649-4040

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

375 Wampanoag Trl
Ste 302A
Riverside, RI 02915
Phone (401) 649-4060

70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543

70 Kenyon Ave
Ste 270
Wakefield, RI 02879
Phone (401) 782-0090

268 Post Rd
Ste 204
Westerly, RI 02891
Phone (401) 788-2110

Organizations & group practices 9

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 8

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": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1013189174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034626",
            "telephone_number": "877-771-7401",
            "fax_number": "401-784-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "address_2": "LAHEY HOSPITAL & MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8430",
            "fax_number": "781-744-5397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Wampanoag Trl Ste 302A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152235",
            "country_code": "US",
            "telephone_number": "401-649-4060",
            "fax_number": "401-649-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNS",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-29",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD14328",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "261074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110103802A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.