Kenneth J Mukamal, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80673 Issued in MA

Practice address

Beth Israel Deaconess Med. Ctr
330 Brookline Avenue
Boston, MA 02215

Phone

(617) 667-9600

Fax

(617) 667-9696

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1235238551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEWEY RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201001",
            "telephone_number": "617-667-9600",
            "fax_number": "617-667-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL DEACONESS MED. CTR",
            "address_2": "330 BROOKLINE AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-667-9600",
            "fax_number": "617-667-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAMAL",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Elizabeth Muise, PNP
• Alina Mujukian
• Nishaat Mukadam
• Renata Mukai, MD
• Shizuo Mukai, M.D.
• Annet Nakku Mukasa, NP
• Christopher Mukasa
• Shibani Sharon Mukerji, M.D., PH.D.
• Sudeep Mukerji, M.D.
• Loulwah Mukharesh, M.B.B.S.

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.