Active NPI
Monika K Konopka, MD
- Endocrinology, Diabetes & Metabolism Physician
- Milton, MA
National Provider Identifier
1184691628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 213857
- Practice address
- 100 Highland St Ste 209
Milton, MA 02186 - Phone
- (617) 698-8184
- Fax
- (617) 698-6918
- NPI assigned
- Mar 3, 2006
- Last updated
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 213857 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 213857 | MA | Primary |
Addresses
Primary practice location
100 Highland St Ste 209
Milton, MA 02186
Mailing address
2527 Cranberry Hwy
Wareham, MA 02571-1046
Phone (800) 841-5200
Other practice location 1
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110007717A | Medicaid | MA |
Other names 1
- Monika K Walczak
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Massachusetts Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Bridgewater Goddard Park Medical Associates, Inc. | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
Interoperability endpoints
- mkonopka251720@direct.bilh.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Signature Medical Group
- Multi-Specialty Clinic/Center
- Brockton, MA
- NPI 1417932591
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1184691628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 CRANBERRY HWY",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711046",
"telephone_number": "800-841-5200",
"fax_number": "508-273-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGHLAND ST STE 209",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "617-698-8184",
"fax_number": "617-698-6918"
}
],
"practiceLocations": [
{
"address_1": "110 Liberty St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023015521",
"country_code": "US",
"telephone_number": "508-894-0400",
"fax_number": "508-565-0157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONOPKA",
"first_name": "MONIKA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "213857",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "213857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110007717A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MONIKA",
"last_name": "WALCZAK",
"middle_name": "K",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Milton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.