Active NPI
Margaret M. Koehm, MD
- Family Medicine Physician
- Nantucket, MA
National Provider Identifier
1255315545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 213100
- Practice address
- 57 Prospect St
Nantucket, MA 02554-2799 - Phone
- (508) 325-9981
- Fax
- (508) 325-8558
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD213100 | RI | |
| Family Medicine Physician | 207Q00000X | 213100 | MA | Primary |
Addresses
Primary practice location
57 Prospect St
Nantucket, MA 02554-2799
Mailing address
57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 325-9981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9022680 | Medicaid | RI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD213100 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Nantucket Physicians Organization | Family Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients | |
| Memorial Hospital | Family Medicine | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
Interoperability endpoints
- koehm.margaret.nch@direct.partners.masshiway.net
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.
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Orthopaedic Surgery Physician
- Nantucket, MA
- NPI 1568798510
Family Medicine
-
dba Nantucket Cottage Medical Group
- Rural Health Clinic/Center
- Nantucket, MA
- NPI 1477021608
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Dennis, MA
- NPI 1649258278
-
- Rural Acute Care Hospital
- Nantucket, MA
- NPI 1447214622
-
- Community Based Hospice Care Agency
- Hyannis, MA
- NPI 1366420861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1255315545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PROSPECT ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542799",
"telephone_number": "508-325-9981",
"fax_number": "508-325-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PROSPECT ST",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025542799",
"telephone_number": "508-325-9981",
"fax_number": "508-325-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHM",
"first_name": "MARGARET",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD213100",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "213100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9022680",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.