Individual provider Active NPI

Michael Christopher Kwa, MD

  • Dermatology Physician
  • Boston, MA
National Provider Identifier
1225403561
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1014095 Issued in MA
Practice address
725 Albany Street, Suite 8B
Shapiro BLDG.
Boston, MA 02118
Phone
(617) 638-7420
Fax
(617) 638-7289
NPI assigned
Dec 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1014095 MA Primary

Addresses

Primary practice location

725 Albany Street, Suite 8B
Shapiro BLDG.
Boston, MA 02118

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118

Other practice location 1

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Other practice location 2

1495 Hancock St
Quincy, MA 02169-5229
Phone (781) 624-8000

Other identifiers 2

IdentifierTypeStateIssuer
110195780AMedicaidMA
3142923MedicaidNH

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
I20230613001932 MA Practitioner - Dermatology 9335473180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Boston University Dermatology IncGroup PAC ID 7012803919, 15 clinicians

Practice addresses (Care Compare)

1495 Hancock St
Quincy, MA 02169-5229
Phone (781) 878-5200

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

725 Albany St
Boston, MA 02118-2526
Phone (617) 638-7420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions157
Skin biopsy81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Dermatology, Inc. Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Child Health Foundation of Boston, Inc. CurrentSince Aug 1, 2023 Accepting new patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince Sep 10, 2025 Accepting new patients
South Shore Medical Center, Inc. Dermatology CurrentSince Jul 1, 2023 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

725 Albany St
Ste 8B
Boston, MA 02118
Phone (617) 638-7420

725 Albany St
#8
Boston, MA 02118
Phone (617) 414-4841

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

1495 Hancock St
Quincy, MA 02169
Phone (617) 745-4100

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: michael.kwa.1@2017.direct.athenahealth.com
  • Direct secure messaging: mkwa654007@direct.hfhs.org
  • Direct secure messaging: mkwa235432@direct.bmc.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 9

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": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1225403561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY STREET, SUITE 8B",
            "address_2": "SHAPIRO BLDG.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-7420",
            "fax_number": "617-638-7289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011794",
            "country_code": "US",
            "telephone_number": "508-427-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021695229",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWA",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "1014095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110195780A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142923",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.