Individual provider Active NPI

Katherine S. Masterpol, M.D.

  • Dermatology Physician
  • Burlington, MA
National Provider Identifier
1154596096
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
229313 Issued in MA
Practice address
83 Cambridge St Ste 1a
Burlington, MA 01803-4181
Phone
(781) 272-7022
Fax
(781) 272-8786
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 229313 MA Primary

Addresses

Primary practice location

83 Cambridge St Ste 1a
Burlington, MA 01803-4181

Mailing address

83 Cambridge St Ste 1a
Burlington, MA 01803-4181
Phone (781) 272-7022

Other identifiers 1

IdentifierTypeStateIssuer
110085121AMedicaidMA

Other names 1

  • Katherine Marianne Szyfelbein Former name

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
I20100927000887 MA Practitioner - Dermatology 4789700816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermphysicians of New England LLCGroup PAC ID 0749522969, 6 clinicians

Practice addresses (Care Compare)

83 Cambridge St
Suite 1a
Burlington, MA 01803-4181
Phone (781) 272-7022

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as individual
Quality
89.36
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions546
Skin biopsy156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229313MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Obrien Jr MD & Assoc PC Dermatology CurrentSince Jun 1, 2010 Accepting new patients
Dermphysicians of New England I LLC Dermatology Current Accepting new patients
Dermphysicians of New England LLC Dermatology CurrentSince Mar 27, 2019 Accepting new patients
Skincare Physicians St Elizabeths Inc Dermatology PastSince May 5, 2013 Accepting new patients
Boston University Dermatology, Inc. Dermatology Past Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients
Skincarephysicians Dermatology Past Accepting new patients

Locations

30 Tozer Rd
Ste 102
Beverly, MA 01915

83 Cambridge St
Ste 1A
Burlington, MA 01803
Phone (781) 272-7022

172 Cambridge St
Ste 204
Burlington, MA 01803
Phone (781) 272-5484

95 Main St
Ste 2
Reading, MA 01867
Phone (781) 205-4138

955 Main St
Ste G6
Winchester, MA 01890
Phone (781) 729-3680

304 Cambridge Rd
Ste 310
Woburn, MA 01801

Interoperability endpoints

  • Direct secure messaging: kmasterpol28783@tuftsmedicine.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1154596096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMBRIDGE ST STE 1A",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034181",
            "telephone_number": "781-272-7022",
            "fax_number": "781-272-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERPOL",
        "first_name": "KATHERINE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "229313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085121A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SZYFELBEIN",
            "middle_name": "MARIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.