Active NPI
Katherine J Kentoffio, MD
- Cardiovascular Disease Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 274384
- Practice address
- Cardiovascular Medicine
330 Brookline Ave
Boston, MA 02215 - Phone
- (617) 667-8800
- NPI assigned
- Jun 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L-263482 | MA | |
| Hospitalist Physician | 208M00000X | 274384 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 274384 | MA | Primary |
Addresses
Primary practice location
Cardiovascular Medicine
330 Brookline Ave
Boston, MA 02215
Mailing address
Division of Cardiology, Baker 4
185 Pilgrim Road
Boston, MA 02215
Phone (617) 667-8800
Other practice location 1
780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1760
Other practice location 2
MGH Revere
385 Broadway
Revere, MA 02151
Phone (781) 485-1000
Other practice location 3
55 Fruit St
Boston, MA 02114
Phone (617) 726-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274384 | Other | MA | MA STATE MEDICAL LICENSE |
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
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 2015
- 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
- Beth Israel Deaconess Medical Center
- Beth Israel Deaconess Hospital - Needham
- Newton-Wellesley Hospital
- Beth Israel Deaconess Hospital - Milton
- Lahey Hospital & Medical Center, Burlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-263482 | MA | MD | Internal Medicine Physician |
| 274384 | MA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Current | Accepting new patients |
| Beth Israel Deaconess Medical Center, Inc. | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
185 Pilgrim Rd
Boston, MA 02215
Phone (617) 632-8252
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1000 Broadway
Chelsea, MA 02150
Phone (617) 660-6600
Interoperability endpoints
- kkentoffio238522@direct.ochin.org
- kkentoffio253789@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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
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": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1215318639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DIVISION OF CARDIOLOGY, BAKER 4",
"address_2": "185 PILGRIM ROAD",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARDIOVASCULAR MEDICINE",
"address_2": "330 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-8800"
}
],
"practiceLocations": [
{
"address_1": "780 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182755",
"country_code": "US",
"telephone_number": "857-654-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "MGH Revere",
"address_2": "385 Broadway",
"address_purpose": "LOCATION",
"city": "Revere",
"state": "MA",
"postal_code": "02151",
"country_code": "US",
"telephone_number": "781-485-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02114",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENTOFFIO",
"first_name": "KATHERINE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2022-08-03",
"certification_date": "2022-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "L-263482",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "274384",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "274384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE MEDICAL LICENSE",
"identifier": "274384",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.