Individual provider Active NPI

Kay Negishi

  • Internal Medicine Physician
  • Park City, UT
National Provider Identifier
1194103309
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273937 Issued in MA
Practice address
1743 Sidewinder Drive
Unit 114
Park City, UT 84060
Phone
(307) 840-9834
Fax
(833) 450-0933
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 273937 MA Primary
Hospitalist Physician 208M00000X 273937 MA

Addresses

Primary practice location

1743 Sidewinder Drive
Unit 114
Park City, UT 84060

Mailing address

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Other practice location 2

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Other practice location 3

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, CO, UT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180518000489 MA Practitioner - HospitalistPractitioner - Internal Medicine 4789987454 Reassigns benefits to 4 organizations
I20200123000364 TX Practitioner - Internal Medicine 4789987454 Reassigns benefits to 2 organizations
I20241023004709 CO Practitioner - Internal Medicine 4789987454 Reassigns benefits to 1 organization
I20241227002215 UT Practitioner - Internal Medicine 4789987454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2018 Accepting new patients
General Hospital Corp Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 7, 2022 Accepting new patients
Emerald Medical Practice PC CurrentSince Sep 27, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 7, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 7, 2020 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 1, 2018 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 7, 2020 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients

Locations

4435 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 653-7704

4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834

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

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

1153 Centre St
#L1
Jamaica Plain, MA 02130

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

475 Hillside Ave
Ste 4
Needham Hgts, MA 02494

221 Bolivar St
Jefferson Cty, MO 65101
Phone 56129936671572

4818 Washington Blvd
Saint Louis, MO 63108
Phone (314) 200-5408

1743 Sidewinder Dr
Unit 114
Park City, UT 84060
Phone (307) 840-9834

Interoperability endpoints

  • Direct secure messaging: kay.negishi.1@30093.direct.athenahealth.com
  • Direct secure messaging: negishi.kay.mgh@direct.partners.masshiway.net

Organizations & group practices 12

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 1

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1194103309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 SIDEWINDER DRIVE",
            "address_2": "UNIT 114",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "307-840-9834",
            "fax_number": "833-450-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303446",
            "country_code": "US",
            "telephone_number": "617-983-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-732-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGISHI",
        "first_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "273937",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "273937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.