Individual provider Active NPI

Kristin Elizabeth Gold, MD

  • Obstetrics & Gynecology Physician
  • Weymouth, MA
National Provider Identifier
1043537400
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
262416 Issued in MA
Practice address
51 Performance Dr
Weymouth, MA 02189
Phone
(781) 878-5200
Fax
(781) 878-6750
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 275004 NY
Student in an Organized Health Care Education/Training Program 390200000X 61016 NY
Obstetrics & Gynecology Physician 207V00000X 262416 MA Primary

Addresses

Primary practice location

51 Performance Dr
Weymouth, MA 02189

Mailing address

141 Longwater Dr Ste 201
Norwell, MA 02061-1620
Phone (781) 792-4136

Other practice location 1

16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5013

Other practice location 2

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

Other practice location 3

340 Wood Rd
Braintree, MA 02184-2401
Phone (781) 878-5200

Other names 1

  • Kristin Elizabeth Skurdahl Former name

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
I20150727002392 MA Practitioner - Obstetrics/Gynecology 8325265820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.58 of 100Reported as group
Quality
58.14
Promoting interoperability
74
Improvement activities
40
Cost
72.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262416MAMDObstetrics & Gynecology Physician
61016NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2018 Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

340 Wood Rd
Braintree, MA 02184
Phone (781) 356-0668

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

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 1

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1043537400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611620",
            "telephone_number": "781-792-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-262-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Longwater Dr",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611683",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-6750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Wood Rd",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021842401",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "fax_number": "781-878-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "275004",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "61016",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "262416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "SKURDAHL",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.