Active NPI
Kurt A Diebold, MD
- Internal Medicine Physician
- Lynn, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 213606
- Practice address
- 235 Woodland N FL 2
Lynn, MA 01904-1414 - Phone
- (781) 715-6608
- NPI assigned
- Feb 24, 2006
- 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 | 213606 | MA | Primary |
Addresses
Primary practice location
235 Woodland N FL 2
Lynn, MA 01904-1414
Mailing address
26 Whitney Tavern Rd
Weston, MA 02493-2136
Phone (774) 270-2799
Other practice location 1
166 Central St
Lowell, MA 01852-1910
Phone (978) 513-7300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172863 | Medicaid | MA | |
| 110005966A | 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206000704 | MA | Practitioner - Internal Medicine | 7315903929 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Adams St
North Chelmsford, MA 01863-1780
Phone (978) 251-3159
Hospital & facility affiliations
- Emerson Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213606 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Emerson Practice Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Chelmsford Family Practice, PC | Current | Accepting new patients | |
| Baystate Medical Practices, Inc | Internal Medicine | Past | Accepting new patients |
| Mercy Inpatient Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
10 Adams St
North Chelmsford, MA 01863
Phone (978) 251-3159
Interoperability endpoints
- kurt.diebold.p1@direct.elementcare.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- North Chelmsford, MA
- NPI 1629082177
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Internal Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737244800000",
"number": "1114993516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 WHITNEY TAVERN RD",
"city": "WESTON",
"state": "MA",
"postal_code": "024932136",
"telephone_number": "774-270-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 WOODLAND N FL 2",
"city": "LYNN",
"state": "MA",
"postal_code": "019041414",
"telephone_number": "781-715-6608"
}
],
"practiceLocations": [
{
"address_1": "166 Central St",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018521910",
"country_code": "US",
"telephone_number": "978-513-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIEBOLD",
"first_name": "KURT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2025-01-19",
"certification_date": "2025-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "213606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0172863",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110005966A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.