Stephen Paul Kajencki, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72749 Issued in MA

Practice address

800 S Main St
Suite 304
Mansfield, MA 02048-3144

Phone

(508) 964-5560

Fax

(508) 964-5570

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.paul.kajencki.1@32866.direct.athenahealth.com

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.

• Revere Medical of Massachusetts, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1336976539

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare of Massachusetts, Inc.

  • Home Health Agency
  • Westwood, MA
  • NPI 1720391329
  Care Compare affiliation
• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1073521753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "address_2": "SUITE 304",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483144",
            "telephone_number": "508-964-5560",
            "fax_number": "508-964-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "address_2": "SUITE 304",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483144",
            "telephone_number": "508-964-5560",
            "fax_number": "508-964-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJENCKI",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "72749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B10041301",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "342",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "725893",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MABC",
            "identifier": "J09823",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "202367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0102003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "7535",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3064565",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Marie Jones, APRN
• Kathleen Mary Jones, LICSW
• Mark P. Jones, PSY.D.
• Tyler Jones, LICSW
• Colleen Joyce
• Kaleidoscope Family Solutions
• Kateryna V Karlin
• Anna Kelley
• Jennifer Kemp, PA-C
• James Kenny

• Family Medicine Physician in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.