Individual provider Active NPI

Lynda G Kabbash, MD

  • Allergy & Immunology Physician
  • Boston, MA
National Provider Identifier
1124006515
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
71639 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 726-3850
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 71639 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-3850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkabbashmd9617@direct.atrius.masshiway.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000815 MA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5698713188 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
McGill University, Faculty of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Center of Massachusetts PCGroup PAC ID 6103841614, 2 clinicians

Practice addresses (Care Compare)

200 Boylston St
Chestnut Hill, MA 02467-2012
Phone (781) 983-9088

25 Boylston St
Suite L02
Chestnut Hill, MA 02467-1715
Phone (617) 232-1690

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

482 Bedford St
Lexington, MA 02420-1402
Phone (781) 983-9088

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2024 Accepting new patients
The General Hospital Corporation Allergy & Immunology CurrentSince Nov 28, 2022 Accepting new patients
New England Baptist Medical Associates, Inc. CurrentSince Mar 4, 1991 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Nov 28, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jan 1, 2024 Accepting new patients
Allergy & Asthma Center of Massachusetts, P.C. CurrentSince Jan 1, 2023 Accepting new patients
Allergy & Asthma Center of Massachusetts, LLC Allergy & Immunology PastSince Jan 1, 2023 Accepting new patients
M. Morey Farizan, M.D., P.C. Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

25 Boylston St
Ste L2
Chestnut Hill, MA 02467
Phone (617) 232-1690

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

125 Parker Hill Ave
#N
Roxbury Xing, MA 02120
Phone (617) 731-3730

Interoperability endpoints

  • Direct secure messaging: lkabbashmd9617@direct.atrius.masshiway.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1124006515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBASH",
        "first_name": "LYNDA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "71639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkabbashmd9617@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "133 Brookline Ave",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "022153904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.