Active NPI
Giannoula Lakka Klement, MD
- Pediatric Hematology & Oncology Physician
- Boston, MA
National Provider Identifier
1174579718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 219313
- Practice address
- 800 Washington St
Floating Hospital for Children at Tufts Medical Center
Boston, MA 02111-1552 - Phone
- (617) 636-5535
- Fax
- (617) 636-7738
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 219313 | MA | Primary |
Addresses
Primary practice location
800 Washington St
Floating Hospital for Children at Tufts Medical Center
Boston, MA 02111-1552
Mailing address
45 Hemenway St
Unit 1
Boston, MA 02115
Phone (617) 536-0515
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2025990 | Other | MASSHEALTH (MA MEDICAID) | |
| AA11828 | Other | HPHC (DFCI ONLY) | |
| 219313 | Other | TUFTS | |
| J26938 | Other | BCBS OF MA, INDEMNITY, BC | |
| 4460262 | Other | CIGNA | |
| 80300 | Other | FALLON COMMUNITY HEALTH P |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219313 | MA | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1174579718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HEMENWAY ST",
"address_2": "UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-536-0515",
"fax_number": "617-562-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WASHINGTON ST",
"address_2": "FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111552",
"telephone_number": "617-636-5535",
"fax_number": "617-636-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMENT",
"first_name": "GIANNOULA",
"middle_name": "LAKKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MA",
"license": "219313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH (MA MEDICAID)",
"identifier": "2025990",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC (DFCI ONLY)",
"identifier": "AA11828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "219313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA, INDEMNITY, BC",
"identifier": "J26938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4460262",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "80300",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.