Individual provider Active NPI

Kristin Ellen Raven, M.D.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1245476258
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
225043 Issued in MA
Practice address
110 Francis St
7TH Floor
Boston, MA 02215-5501
Phone
(617) 632-9700
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 225043 MA Primary

Addresses

Primary practice location

110 Francis St
7TH Floor
Boston, MA 02215-5501

Mailing address

110 Francis St
7TH Floor
Boston, MA 02215-5501
Phone (617) 632-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20120612000018 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 2163686759 Reassigns benefits to 3 organizations
I20250130001928 NH Practitioner - General Surgery 2163686759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

168 Kinsley St
Nashua, NH 03060-3634
Phone (603) 598-0455

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225043MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 15, 2025 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Aug 19, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Surgery CurrentSince Apr 17, 2012 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Apr 17, 2012 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 17, 2012 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Apr 17, 2012 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

110 Francis St
Ste 7
Boston, MA 02215
Phone (617) 632-9700

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

208 Robinson Rd
Hudson, NH 03051
Phone (603) 577-3410

168 Kinsley St
Ste 10
Nashua, NH 03060
Phone (603) 578-9363

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

Interoperability endpoints

  • Direct secure messaging: kraven2777278@direct.bsmhealth.org

Organizations & group practices 8

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 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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1245476258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "7TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEN",
        "first_name": "KRISTIN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "225043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.