Individual provider Active NPI

Kirsten Meisinger, MD

  • Family Medicine Physician
  • Somerville, MA
National Provider Identifier
1215907092
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158761 Issued in MA
Practice address
337 Somerville Ave
Union Square Family Health Center
Somerville, MA 02143-2914
Phone
(617) 665-3370
Fax
(617) 625-1288
NPI assigned
Jan 25, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158761 MA Primary

Addresses

Primary practice location

337 Somerville Ave
Union Square Family Health Center
Somerville, MA 02143-2914

Mailing address

337 Somerville Ave
Somerville, MA 02143-2914
Phone (617) 665-3370

Other identifiers 1

IdentifierTypeStateIssuer
3202542MedicaidMA

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
I20050322000933 MA Practitioner - Family Practice 8527014646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

26 Central St
Somerville, MA 02143-2827
Phone (617) 665-3220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158761MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 1, 2005 Accepting new patients
Mount Auburn Professional Services Inc Family Medicine Past Accepting new patients

Locations

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

1 Cabot Rd
Fl 2
Medford, MA 02155
Phone (617) 665-1566

26 Central St
Somerville, MA 02143
Phone (617) 591-6033

337 Somerville Ave
Somerville, MA 02143
Phone (617) 627-9040

Interoperability endpoints

  • Direct secure messaging: kmeisinger6133@direct.challiance.masshiway.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1215907092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SOMERVILLE AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432914",
            "telephone_number": "617-665-3370",
            "fax_number": "617-628-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SOMERVILLE AVE",
            "address_2": "UNION SQUARE FAMILY HEALTH CENTER",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432914",
            "telephone_number": "617-665-3370",
            "fax_number": "617-625-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISINGER",
        "first_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "158761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3202542",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.