Individual provider Active NPI

Mari-Kim Bunnell, MD

  • Obstetrics & Gynecology Physician
  • Chestnut Hill, MA
National Provider Identifier
1205892361
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
73379 Issued in MA
Practice address
27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone
(617) 731-3400
Fax
(617) 566-2224
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 73379 MA Primary

Addresses

Primary practice location

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747

Mailing address

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone (617) 731-3400

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
I20050426001121 MA Practitioner - Obstetrics/Gynecology 8820037294 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Oct 30, 2023 Accepting new patients
Nantucket Physicians Organization CurrentSince Oct 30, 2023 Accepting new patients
Nantucket Cottage Hospital CurrentSince Oct 30, 2023 Accepting new patients
New England OB/GYN Associates,Inc CurrentSince Mar 1, 1970 Accepting new patients
Brigham & Womens Physicians Organization Inc Obstetrics & Gynecology CurrentSince Oct 25, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1 Brookline Pl
Ste 522
Brookline, MA 02445
Phone (617) 731-3400

27 Boylston St
Ste 320
Chestnut Hill, MA 02467
Phone (617) 467-6672

200 Boylston St
Ste 301
Chestnut Hill, MA 02467
Phone (617) 543-0809

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

Interoperability endpoints

  • Direct secure messaging: bunnell.marikim.neoga@direct.partners.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1205892361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "MARI-KIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "73379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.