Individual provider Active NPI

Carey Kimmelstiel, MD

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1043326713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
55834 Issued in MA
Practice address
750 Washington St
Boston, MA 02111-1526
Phone
(617) 636-5000
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 55834 MA Primary

Addresses

Primary practice location

750 Washington St
Boston, MA 02111-1526

Mailing address

750 Washington St
Nemc Box 836
Boston, MA 02111-1526
Phone (617) 636-7105

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
I20050406000995 MA Practitioner - Cardiovascular Disease (Cardiology) 0042267536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Center at Tufts Medical Center IncGroup PAC ID 3870857816, 98 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc CurrentSince Sep 1, 1990 Accepting new patients
Tufts Medical Center, Inc. CurrentSince May 19, 2013 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. Cardiovascular Disease CurrentSince Aug 1, 2018 Accepting new patients
Pratt Medical Group, Inc Cardiovascular Disease Current Accepting new patients
Pratt Medical Group, Inc CurrentSince Sep 1, 1990 Accepting new patients
Tufts Medical Center, Inc. CurrentSince May 19, 2013 Accepting new patients
Primary Care Specialists Inc. Past Accepting new patients
Gregory Talalayevsky, MD PC Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

750 Washington St
Boston, MA 02111
Phone (617) 636-4600

800 Washington St
#1
Boston, MA 02111

750 Washington St
#836
Boston, MA 02111
Phone (617) 636-7105

750 Washington St
#833
Boston, MA 02111
Phone (617) 636-4800

Interoperability endpoints

  • Direct secure messaging: ckimmelstiel29193@tuftsmedicine.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDJBD

Organizations & group practices 8

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 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043326713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "address_2": "NEMC BOX 836",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-7105",
            "fax_number": "617-636-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111526",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELSTIEL",
        "first_name": "CAREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "55834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.