Individual provider Active NPI

Dempsey Kevin Goodale, PA-C

  • Physician Assistant
  • Quincy, MA
National Provider Identifier
1235014754
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101936 Issued in MA
Practice address
500 Congress St
Quincy, MA 02169-0908
Phone
(617) 376-6600
NPI assigned
Aug 6, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health Inc (1,214 clinicians)
NVR and SDD Convenient Care PC (5 clinicians)

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

339 Squire Rd
Suite 130
Revere, MA 02151-4396
Phone (617) 580-9116

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251209003486 MA Practitioner - Physician Assistant 3870087646 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PA101936MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Current
since Nov 1, 2025
Accepting new patients
NVR & SDD Convenient Care PC Current
since Dec 1, 2025
Accepting new patients
Atrius Health, Inc. Current Accepting new patients
Atrius Health, Inc. Physician Assistant Current
since Nov 1, 2025
Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

137 Turnpike St
North Andover, MA 01845

339 Squire Rd
Ste 130
Revere, MA 02151
Phone (617) 580-9116

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA101936 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

500 Congress St
Quincy, MA 02169-0908

Mailing address

3587 Washington St Apt 3
Jamaica Plain, MA 02130-2669
Phone (860) 899-4051

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2025.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1235014754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 WASHINGTON ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302669",
            "telephone_number": "860-899-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONGRESS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690908",
            "telephone_number": "617-376-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "DEMPSEY",
        "middle_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.