Individual provider Active NPI

David A. Kieff, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wellesley, MA
National Provider Identifier
1194716290
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
80006 Issued in MA
Practice address
65 Walnut St Ste 320
Wellesley, MA 02481-2184
Phone
(617) 997-2900
Fax
(781) 489-3380
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 80006 MA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 80006 MA Primary

Addresses

Primary practice location

65 Walnut St Ste 320
Wellesley, MA 02481-2184

Mailing address

65 Walnut Street
Suite 320
Wellesley, MA 02481-2184
Phone (617) 997-2900

Other identifiers 1

IdentifierTypeStateIssuer
3179770MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000263 MA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0941206643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Kieff MD LLCGroup PAC ID 7517005911, 2 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 320
Wellesley, MA 02481-2184
Phone (617) 997-2900

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Kieff, MD, LLC Otolaryngology/Facial Plastic Surgery CurrentSince Sep 2, 2009 Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

65 Walnut St
Ste 320
Wellesley Hills, MA 02481
Phone (617) 997-2900

Interoperability endpoints

  • Direct secure messaging: kieff.david.nwofp@direct.partners.masshiway.net
  • Direct secure messaging: david.kieff.1@2203.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2203/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194716290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT STREET",
            "address_2": "SUITE 320",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812184",
            "telephone_number": "617-997-2900",
            "fax_number": "781-489-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 320",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812184",
            "telephone_number": "617-997-2900",
            "fax_number": "781-489-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFF",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "80006",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MA",
            "license": "80006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179770",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.