NPIMap

Individual provider Active NPI

Daniel S. Kirshenbaum, M.D.

  • Cardiovascular Disease Physician
  • Boston, MA
National Provider Identifier
1164714697
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
257198 Issued in MA
Practice address
72 E Concord St
Boston, MA 02118-2642
Phone
(617) 638-7490
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257198 MA
Cardiovascular Disease Physician 207RC0000X 257198 MA Primary

Addresses

Primary practice location

72 E Concord St
Boston, MA 02118-2642

Mailing address

72 E Concord St
Boston, MA 02118-2642

Other identifiers 1

IdentifierTypeStateIssuer
110097364AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001919 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850523903 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Shore Internal Medicine Associates Inc.Group PAC ID 8820066186, 11 clinicians
Milton Cardiac Testing, P.C.Group PAC ID 1254409352, 6 clinicians

Practice addresses (Care Compare)

100 Highland St
Milton, MA 02186-3881
Phone (617) 698-8855

92 Highland St
Milton, MA 02186-3800
Phone (617) 696-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257198MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2020 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2015 Accepting new patients
South Shore Internal Medicine Associates Inc. Internal Medicine CurrentSince Jan 10, 2022 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Milton Cardiac Testing, P.C. Cardiovascular Disease CurrentSince Jan 1, 2022 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jul 1, 2015 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

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

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

330 Brookline Ave
#2
Boston, MA 02215
Phone (617) 632-8383

55 Fruit St
Boston, MA 02114

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

92 Highland St
Milton, MA 02186
Phone (617) 698-8855

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

100 Highland St
Ste 300
Milton, MA 02186
Phone (617) 698-8855

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • Direct secure messaging: daniel.kirshenbaum@ssi.eclinicaldirectplus.com

Organizations & group practices 10

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 4

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1164714697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 E CONCORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 E CONCORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182642",
            "telephone_number": "617-638-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHENBAUM",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "257198",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "257198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110097364A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.