Kathryn E Ackerman, M.D.
Individual provider Active NPI Sports Medicine (Internal Medicine) Physician · Brighton, MA
NPI 1124046644 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1124046644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Internal Medicine) Physician 207RS0010X
- License
- 228833 (MA)
- Practice address
- 20 Guest St Ste 200
Brighton, MA 02135-2040 - Phone
- (617) 362-6450
- Fax
- (617) 362-6460
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Johns Hopkins University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- WHSP Medical, PC
Practice addresses (Care Compare)
20 Guest St
Brighton, MA 02135-2040
Phone (617) 475-0496
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090116000136 | MA | Practitioner - Sports Medicine |
5698838613 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHSP Medical PC | Sports Medicine | Current |
Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Current |
Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
319 Longwood Ave
Ste 6
Boston, MA 02115
Phone (617) 355-3501
20 Guest St
Ste 200
Brighton, MA 02135
Phone (617) 362-6450
Interoperability endpoints
- kathryn.ackerman.1@33525.direct.athenahealth.com
- kackerman26741@direct.bostonchildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 228833 | MA | Yes |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 228833 | MA | |
| Internal Medicine Physician | 207R00000X | 228833 | MA |
Addresses
Primary practice location
20 Guest St Ste 200
Brighton, MA 02135-2040
Mailing address
20 Guest St Ste 200
Brighton, MA 02135-2040
Phone (617) 362-6450
Other providers in Brighton, MA
- Lara Aboud Syriani
- Ahmed Mohamed Abouelazaem
- Absolute Care, Inc.
- Mu'Taz Fahid Mezel Abualsha'R
- Angela Achkar
- Martin A Acquadro
- Alexandra Kaye Adams
- Katherine Adams
- Laura Adams
- Sonia R. Adams
All providers in Brighton, MA · Sports Medicine (Internal Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.