Active NPI
Kathaleen A. Porter, M.D.
- Surgery Physician
- Natick, MA
National Provider Identifier
1093706517
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 54130
- Practice address
- 67 Union St
Suite 203B
Natick, MA 01760-7700 - Phone
- (508) 652-0758
- Fax
- (508) 655-7209
- NPI assigned
- Nov 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 54130 | MA | Primary |
Addresses
Primary practice location
67 Union St
Suite 203B
Natick, MA 01760-7700
Mailing address
67 Union St
Suite 203B
Natick, MA 01760-7700
Phone (508) 652-0758
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54130 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Family Practice, Inc | Past | Accepting new patients | |
| Preventive Medicine Associates | Past | Accepting new patients |
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.
-
- Addiction Medicine (Family Medicine) Physician
- Brighton, MA
- NPI 1801804315
-
- Addiction Medicine (Family Medicine) Physician
- Brookline, MA
- NPI 1962451591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093706517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 203B",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-652-0758",
"fax_number": "508-655-7209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 UNION ST",
"address_2": "SUITE 203B",
"city": "NATICK",
"state": "MA",
"postal_code": "017607700",
"telephone_number": "508-652-0758",
"fax_number": "508-655-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KATHALEEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "54130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.