Individual provider Active NPI

Katherine A. Dudley, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1245497619
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
246902 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 726-1721
Fax
(617) 724-9948
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 231874 MA
Pulmonary Disease Physician 207RP1001X 246902 MA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 246902 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 246902 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-1721

Other practice location 1

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Other practice location 2

103 Garland St
Everett, MA 02149-5066
Phone (617) 394-7731

Other practice location 3

33 Tower St
Somerville, MA 02143-1426
Phone (617) 591-4350

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
I20150817001714 MA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7810153715 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The General Hospital CorporationGroup PAC ID 6507803806, 1,275 clinicians

Practice addresses (Care Compare)

1575 Cambridge St
Cambridge, MA 02138-4308
Phone (617) 876-4344

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231874MAMDInternal Medicine Physician
246902MAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 1, 2015 Accepting new patients
Mount Auburn Professional Services Inc Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 28, 2017 Accepting new patients
Mt Auburn Professional Services Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Sep 26, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Sep 26, 2022 Accepting new patients

Locations

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

55 Fruit St
#148
Boston, MA 02114
Phone (617) 726-1721

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

300 Mount Auburn St
Ste 419
Cambridge, MA 02138
Phone (617) 354-8771

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

230 Highland Ave
Somerville, MA 02143
Phone (617) 591-4350

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

Interoperability endpoints

  • Direct secure messaging: dudley.katherine.mgh@direct.partners.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 3

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1245497619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-1721",
            "fax_number": "617-724-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-1721",
            "fax_number": "617-724-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391047",
            "country_code": "US",
            "telephone_number": "617-665-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Garland St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021495066",
            "country_code": "US",
            "telephone_number": "617-394-7731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Tower St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021431426",
            "country_code": "US",
            "telephone_number": "617-591-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "KATHERINE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "231874",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "246902",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "246902",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "246902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.