Individual provider Active NPI

Katherine Altshul Darci, M.D.

  • Pediatrics Physician
  • Charlestown, MA
National Provider Identifier
1164448106
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
221008 Issued in MA
Practice address
17 Mount Vernon St
Unit B
Charlestown, MA 02129-3410
Phone
(617) 306-0419
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 221008 MA Primary

Addresses

Primary practice location

17 Mount Vernon St
Unit B
Charlestown, MA 02129-3410

Mailing address

17 Mount Vernon St
Unit B
Charlestown, MA 02129-3410
Phone (617) 306-0419

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
I20070613000041 MA Practitioner - Pediatric Medicine 1254439375 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221008MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 28, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Pediatrics CurrentSince May 2, 2013 Accepting new patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2007 Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

55 Fruit St
Boston, MA 02114

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

Interoperability endpoints

  • Direct secure messaging: darci.katherine.mgh@direct.partners.masshiway.net

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1164448106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MOUNT VERNON ST",
            "address_2": "UNIT B",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293410",
            "telephone_number": "617-306-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MOUNT VERNON ST",
            "address_2": "UNIT B",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293410",
            "telephone_number": "617-306-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARCI",
        "first_name": "KATHERINE",
        "middle_name": "ALTSHUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "221008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.