Active NPI
Kenneth J. Comeiro Jr., NP
- Nurse Practitioner
- Woburn, MA
National Provider Identifier
1104977354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN209156
- Practice address
- 273 Lexington Street
Suite 201
Woburn, MA 01801 - Phone
- (781) 565-8926
- Fax
- (781) 394-8195
- NPI assigned
- Jan 15, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN209156 | MA | Primary |
Addresses
Primary practice location
273 Lexington Street
Suite 201
Woburn, MA 01801
Mailing address
273 Lexington Street
Woburn, MA 01801
Phone (781) 565-8926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0375420 | Medicaid | MA |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN209156 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Medical Group, Inc., the | Past | Accepting new patients | |
| Daf Medical Associates Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
Interoperability endpoints
- ken.comeiro.p1@direct.elementcare.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Internal Medicine Physician
- East Falmouth, MA
- NPI 1548212558
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1407862048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1104977354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 LEXINGTON STREET",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-565-8926",
"fax_number": "781-394-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 LEXINGTON STREET",
"address_2": "SUITE 201",
"city": "WOBURN",
"state": "MA",
"postal_code": "01801",
"telephone_number": "781-565-8926",
"fax_number": "781-394-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEIRO",
"first_name": "KENNETH",
"middle_name": "J.",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN209156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0375420",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.