Individual provider Active NPI

Kendra Klein-Mascia, MD

  • Ophthalmology Physician
  • Burlington, MA
National Provider Identifier
1205192697
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266071 Issued in MA
Practice address
41 Mall Road
Burlington, MA 01805
Phone
(781) 744-8000
Fax
(781) 744-2540
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266071 MA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 53436 AZ

Addresses

Primary practice location

41 Mall Road
Burlington, MA 01805

Mailing address

41 Mall Road
Burlington, MA 01805
Phone (781) 744-8000

Other practice location 1

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928 ext. 159

Other identifiers 1

IdentifierTypeStateIssuer
231492MedicaidAZ

Other names 1

  • Kendra Klein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160816002143 MA Practitioner - Ophthalmology 0143519801 Reassigns benefits to 2 organizations
I20201104000123 NH Practitioner - Ophthalmology 0143519801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Nashua Eye Associates PAGroup PAC ID 8628961216, 19 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

5 Coliseum Ave
Nashua, NH 03063-3292
Phone (603) 882-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
86.44
Promoting interoperability
100
Improvement activities
40
Cost
76.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53436AZMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Nashua Eye Associates, P.a. Ophthalmology CurrentSince Sep 9, 2020 Accepting new patients
Lahey Clinic, Inc CurrentSince Sep 1, 2020 Accepting new patients
Associated Retina Consultants, LTD. Ophthalmology Past Accepting new patients

Locations

31 Mall Rd
Burlington, MA 01803
Phone (781) 744-3753

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

5 Coliseum Ave
Nashua, NH 03063
Phone (603) 881-7141

5 Coliseum Ave
Ste 101
Nashua, NH 03063
Phone (603) 882-9800

Interoperability endpoints

  • Direct secure messaging: kkleinmascia@nashuaeye.direct.eyemdemr.com
  • Direct secure messaging: kmascia153632@direct.bilh.masshiway.net

Organizations & group practices 4

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1205192697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850205505",
            "country_code": "US",
            "telephone_number": "602-242-4928 x159",
            "fax_number": "602-249-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN-MASCIA",
        "first_name": "KENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "266071",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "53436",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231492",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "KLEIN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.