Active NPI
Ekaterina G. Kehl, MD
- Internal Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L-229193
- Practice address
- Massachusetts General Hospital
55 Fruit Street, Bulfinch 148
Boston, MA 02114 - Phone
- (617) 726-8854
- NPI assigned
- Apr 3, 2007
- Last updated
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L-229193 | MA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 239260 | MA | |
| Pulmonary Disease Physician | 207RP1001X | 239260 | MA |
Addresses
Primary practice location
Massachusetts General Hospital
55 Fruit Street, Bulfinch 148
Boston, MA 02114
Mailing address
Massachusetts General Hospital
55 Fruit Street, Bulfinch 148
Boston, MA 02114
Phone (617) 726-8854
Other names 1
- Dr. Ekaterina S. Gladysheva
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Stanford University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Mount Auburn St
Suite 419
Cambridge, MA 02138-5665
Phone (617) 354-8771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-229193 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Auburn Professional Services | Internal Medicine | Current | Accepting new patients |
| Mount Auburn Professional Services Inc | Internal Medicine | Current | Accepting new patients |
Locations
300 Mount Auburn St
Ste 419
Cambridge, MA 02138
Phone (617) 354-8771
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
Interoperability endpoints
- ekehl252859@direct.bilh.masshiway.net
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
dba Belmont Medical Associates
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1073634416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MASSACHUSETTS GENERAL HOSPITAL",
"address_2": "55 FRUIT STREET, BULFINCH 148",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MASSACHUSETTS GENERAL HOSPITAL",
"address_2": "55 FRUIT STREET, BULFINCH 148",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "EKATERINA",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "L-229193",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MA",
"license": "239260",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "239260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EKATERINA",
"last_name": "GLADYSHEVA",
"middle_name": "S.",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.