Active NPI
Kevin John Corbett, MD
- Pediatrics Physician
- Cohasset, MA
National Provider Identifier
1174504823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 54375
- Practice address
- 223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025-1391 - Phone
- (781) 383-6800
- Fax
- (781) 383-6504
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 54375 | MA | Primary |
Addresses
Primary practice location
223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025-1391
Mailing address
223 Chief Justice Cushing Hwy
Ste 101
Cohasset, MA 02025-1391
Phone (781) 383-6800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457039 | Other | TUFTS USFHP | |
| 6192335 | Medicaid | MA | |
| 711832 | Other | TUFTS | |
| CO J04340 | Other | MA | BCBS |
| 20260 | Other | MA | HPHC |
| 1200506 | Other | UNITED | |
| 355288 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1174504823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 CHIEF JUSTICE CUSHING HWY",
"address_2": "STE 101",
"city": "COHASSET",
"state": "MA",
"postal_code": "020251391",
"telephone_number": "781-383-6800",
"fax_number": "781-383-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 CHIEF JUSTICE CUSHING HWY",
"address_2": "STE 101",
"city": "COHASSET",
"state": "MA",
"postal_code": "020251391",
"telephone_number": "781-383-6800",
"fax_number": "781-383-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "KEVIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "54375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS USFHP",
"identifier": "457039",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6192335",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "711832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CO J04340",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "20260",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "1200506",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "355288",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cohasset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.