Active NPI
William G Kaelin, M.D.
- Internal Medicine Physician
- Boston, MA
National Provider Identifier
1093994493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57621
- Practice address
- 44 Binney Street
Dana Farber Cancer Institute
Boston, MA 02115 - Phone
- (617) 632-3975
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57621 | MA | Primary |
Addresses
Primary practice location
44 Binney Street
Dana Farber Cancer Institute
Boston, MA 02115
Mailing address
44 Binny Street, Mayer 457
Dana Farber Cancer Institute
Boston, MA 02115
Phone (617) 632-3975
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57621 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1093994493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BINNY STREET, MAYER 457",
"address_2": "DANA FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-632-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY STREET",
"address_2": "DANA FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-632-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAELIN",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "57621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.