Individual provider Active NPI

Konstantina Booras, PA

  • Physician Assistant
  • Lowell, MA
National Provider Identifier
1245918754
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
315 Westford St
Lowell, MA 01851-2518
Phone
(978) 996-4294
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

315 Westford St
Lowell, MA 01851-2518

Mailing address

315 Westford St
Lowell, MA 01851-2518
Phone (978) 996-4294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241022000847 RI Practitioner - Physician Assistant 7911439427
I20251022001590 MA Practitioner - Physician Assistant 7911439427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians

Practice addresses (Care Compare)

154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Aug 14, 2025 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Aug 14, 2025 Accepting new patients
Patriot Urgent Care Professionals, PC Current Accepting new patients
Silver Spring Health Care Management, Inc. Physician Assistant CurrentSince Aug 29, 2024 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1245918754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WESTFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512518",
            "telephone_number": "978-996-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WESTFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512518",
            "telephone_number": "978-996-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORAS",
        "first_name": "KONSTANTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.