Individual provider Active NPI

Laura Gaeta Kehoe, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Attleboro, MA
National Provider Identifier
1215924311
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
208278 Issued in MA
Practice address
7 Railroad Ave Unit B
Attleboro, MA 02703-2908
Phone
(833) 510-4357
NPI assigned
Oct 4, 2005
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 208278 MA Primary

Addresses

Primary practice location

7 Railroad Ave Unit B
Attleboro, MA 02703-2908

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other identifiers 1

IdentifierTypeStateIssuer
2023652MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH2 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
I20031106000714 MA Practitioner - Internal Medicine 2769395631 Reassigns benefits to 2 organizations
I20250210002990 OH Practitioner - Addiction Medicine 2769395631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208278MAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 1, 2006 Accepting new patients
General Hospital Corp Current Accepting new patients
Boulder Care Provider Group PA CurrentSince Nov 30, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Nov 1, 2003 Accepting new patients
Community Health Care, Inc. Addiction Medicine CurrentSince Dec 17, 2024 Accepting new patients
Bay Cove Human Services, Inc Past Accepting new patients

Locations

101 Merrimac St
Ste 1000
Boston, MA 02114
Phone (617) 724-1100

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

151 Everett Ave
Chelsea, MA 02150
Phone (617) 884-8300

170 Morton St
#4S
Jamaica Plain, MA 02130

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

Interoperability endpoints

  • Direct secure messaging: kehoe.laura.mgh@direct.partners.masshiway.net
  • Direct secure messaging: laura.kehoe.1@11044.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1215924311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RAILROAD AVE UNIT B",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032908",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHOE",
        "first_name": "LAURA",
        "middle_name": "GAETA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "208278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.