Individual provider Active NPI

Kelly E Hoisington, D.O.

  • Family Medicine Physician
  • Baldwinville, MA
National Provider Identifier
1033191978
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218000 Issued in MA
Practice address
570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone
(978) 939-2133
Fax
(978) 939-8580
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218000 MA Primary

Addresses

Primary practice location

570 Baldwinville Rd
Baldwinville, MA 01436-1351

Mailing address

570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133

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
I20040427001453 MA Practitioner - Family Practice 7810984333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Family Practice, PC Family Medicine CurrentSince Mar 2, 2010 Accepting new patients
Narragansett Family Practice Family Medicine Past Accepting new patients
Heywood Medical Group Inc. Family Medicine Past Accepting new patients

Locations

570 Baldwinville Rd
Baldwinville, MA 01436
Phone (508) 939-2133

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24634/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1033191978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOISINGTON",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "218000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinville, MA

Sources for this page

Verify at the official NPI Registry.