NPIMap

Organization Active NPI

Kronos Health PLLC

  • Family Medicine Physician
  • Acton, MA
National Provider Identifier
1053777839
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77012 Issued in MA
Legal business name
KRONOS HEALTH PLLC
Practice address
57 Mohawk Dr
Acton, MA 01720-2342
Phone
(978) 290-1009
Fax
(978) 475-8886
NPI assigned
Jan 8, 2016
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Scott C Early, MDNPI 1043207327
Title
Ceo
Phone
(978) 290-1009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 77012 MA Primary

Addresses

Primary practice location

57 Mohawk Dr
Acton, MA 01720-2342

Mailing address

360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone (978) 655-6652

Other identifiers 1

IdentifierTypeStateIssuer
110111364AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160411001338 MA Part B Supplier - Clinic/Group Practice 3779881636 Receives reassigned benefits from 14 practitioners
Practice locations: Lawrence, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21969/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1053777839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-655-6652",
            "fax_number": "978-655-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MOHAWK DR",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017202342",
            "telephone_number": "978-290-1009",
            "fax_number": "978-475-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRONOS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-290-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "77012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110111364A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.