Individual provider Active NPI

Kevin C. Jillson, M.D.

  • Internal Medicine Physician
  • Hopkinton, MA
National Provider Identifier
1225476914
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275375 Issued in MA
Practice address
1 Lumber St Ste 200
Hopkinton, MA 01748
Phone
(508) 435-5936
Fax
(508) 435-4616
NPI assigned
Jun 5, 2013
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 275375 MA
Internal Medicine Physician 207R00000X 275375 MA Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 255941 MA
Pediatrics Physician 208000000X 275375 MA

Addresses

Primary practice location

1 Lumber St Ste 200
Hopkinton, MA 01748

Mailing address

9 Industrial Rd Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480

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
I20180808002454 MA Practitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Pediatric Medicine 1557679792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine, Sports Medicine
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1 Lumber St
Suite 200
Hopkinton, MA 01748-2365
Phone (508) 435-5936

100 Commerce Dr
Northbridge, MA 01534-1415
Phone (508) 234-6311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255941MAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Milford Regional Physician Group, Inc. Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

1 Lumber St
Ste 200
Hopkinton, MA 01748
Phone (508) 435-5936

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

98 Prospect St
Milford, MA 01757
Phone (508) 478-3918

100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: jillson.kevin.tcma@direct.partners.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, 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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1225476914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 INDUSTRIAL RD STE 5",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573736",
            "telephone_number": "508-473-1480",
            "fax_number": "508-473-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUMBER ST STE 200",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "01748",
            "telephone_number": "508-435-5936",
            "fax_number": "508-435-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILLSON",
        "first_name": "KEVIN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MA",
            "license": "275375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "275375",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MA",
            "license": "255941",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "275375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinton, MA

Sources for this page

Verify at the official NPI Registry.