Individual provider Active NPI

Karen Davidson, MD

  • Maternal & Fetal Medicine Physician
  • Boston, MA
National Provider Identifier
1154374890
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
77990 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(857) 307-0896
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 77990 MA
Maternal & Fetal Medicine Physician 207VM0101X 10781 NH
Maternal & Fetal Medicine Physician 207VM0101X 77990 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

375 Boylston St
Brookline, MA 02445-6007
Phone (857) 307-0896

Other practice location 1

67 Corporate Dr
Building A Ste 300
Portsmouth, NH 03801-2847
Phone (603) 516-0092

Other identifiers 1

IdentifierTypeStateIssuer
3072785MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040616000930 MA Practitioner - Obstetrics/Gynecology 3577547512 Reassigns benefits to 2 organizations
I20140520000900 NH Practitioner - Obstetrics/Gynecology 3577547512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77990MAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Mar 29, 2021 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 29, 2021 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Core Physicians LLC CurrentSince Apr 18, 2018 Accepting new patients
Core Physicians, LLC Obstetrics & Gynecology CurrentSince Apr 18, 2018 Accepting new patients
Exeter Health Resources Inc Past Accepting new patients
NSPG Billing LLC Past Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

133 Ornac
Ste 410
Concord, MA 01742
Phone (978) 287-3180

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

7 Holland Way
#1
Exeter, NH 03833

7 Holland Way
#2
Exeter, NH 03833

67 Corporate Dr
Fl 2
Portsmouth, NH 03801
Phone (603) 610-8078

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

118 Portsmouth Ave
Ste 102
Stratham, NH 03885

118 Portsmouth Ave
Ste D202
Stratham, NH 03885

118 Portsmouth Ave
Ste A102
Stratham, NH 03885
Phone (603) 773-6973

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kdavidson466521@direct.bilh.masshiway.net
  • Direct secure messaging: davidson.karen.bwh@direct.partners.masshiway.net

Organizations & group practices 12

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1154374890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BOYLSTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456007",
            "telephone_number": "857-307-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "857-307-0896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Corporate Dr",
            "address_2": "Building A Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038012847",
            "country_code": "US",
            "telephone_number": "603-516-0092",
            "fax_number": "603-516-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "77990",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NH",
            "license": "10781",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MA",
            "license": "77990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072785",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.