Active NPI
Kenkre G Mahesh, M.D.
- Surgery Physician
- Attleboro, MA
National Provider Identifier
1083719280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 59809
- Practice address
- 120 N Main St
Suite 201
Attleboro, MA 02703-2248 - Phone
- (508) 222-8444
- Fax
- (508) 226-3713
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 59809 | MA | Primary |
Addresses
Primary practice location
120 N Main St
Suite 201
Attleboro, MA 02703-2248
Mailing address
28 Sturdy St
Suite 201
Attleboro, MA 02703-3148
Phone (508) 226-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9724974 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59809 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1083719280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 STURDY ST",
"address_2": "SUITE 201",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027033148",
"telephone_number": "508-226-7788",
"fax_number": "508-226-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N MAIN ST",
"address_2": "SUITE 201",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032248",
"telephone_number": "508-222-8444",
"fax_number": "508-226-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHESH",
"first_name": "KENKRE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "59809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9724974",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.