Individual provider Active NPI

Kimberly A Dever, M.D.

  • Obstetrics & Gynecology Physician
  • S Weymouth, MA
National Provider Identifier
1265433973
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
78939 Issued in MA
Practice address
90 Libbey Parkway
Suite 105
S Weymouth, MA 02189
Phone
(339) 201-4120
Fax
(781) 545-8117
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 78939 MA Primary

Addresses

Primary practice location

90 Libbey Parkway
Suite 105
S Weymouth, MA 02189

Mailing address

PO Box 188
S Weymouth, MA 02190
Phone (339) 201-4120

Other identifiers 1

IdentifierTypeStateIssuer
3207561MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Associates CurrentSince Jun 26, 2012 Accepting new patients
Women'S Health Affiliates, Inc. Obstetrics & Gynecology Past Accepting new patients
Signature Healthcare Medical Group Inc Obstetrics & Gynecology PastSince Oct 1, 2013 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

141 Longwater Dr
Ste 201LOFT
Norwell, MA 02061

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

90 Libbey Park
Ste 105
Weymouth, MA 02189
Phone (339) 201-4120

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

Organizations & group practices 4

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1265433973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02190",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PARKWAY",
            "address_2": "SUITE 105",
            "city": "S WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "339-201-4120",
            "fax_number": "781-545-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "78939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207561",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S Weymouth, MA

Sources for this page

Verify at the official NPI Registry.