Kai Mithoefer, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

212397 Issued in MA

Practice address

40 Allied Drive
Ded Ham, MA 02026

Phone

(617) 264-1100

Fax

(617) 264-1101

NPI assigned

Jan 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New England Baptist Hospital Hospital, Boston, MA, CCN 220088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kai.mithoefer.2@749.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4

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.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170
  Medicare reassignment Care Compare group NPD
• Boston Sports & Shoulder Center, LLC

  dba Boston Sports & Shoulder Center

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1437184165
  Medicare reassignment NPD
• Boston Sports & Shoulder Center, LLC

  dba Boston Sports & Shoulder Center

  • Orthopaedic Surgery Physician
  • Westborough, MA
  • NPI 1770975823
  NPD
• Northeast Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Derry, NH
  • NPI 1477374155

  Orthopaedic Surgery

  NPD
• Northridge Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Nashua, NH
  • NPI 1548822620
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New England Baptist Hospital

  • General Acute Care Hospital
  • Roxbury Crossing, MA
  • NPI 1699767491
  Care Compare affiliation

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1275504219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ALLIED DRIVE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "617-264-1100",
            "fax_number": "617-264-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ALLIED DRIVE",
            "city": "DED HAM",
            "state": "MA",
            "postal_code": "02026",
            "telephone_number": "617-264-1100",
            "fax_number": "617-264-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITHOEFER",
        "first_name": "KAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "212397",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "228933-1",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "212397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198510",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R Matthew Miner, D.D.S.
• Sara S Minias
• Jennifer A Mirabella, LICSW
• Andrea Mischke, M.S. CCC-SLP
• Asiamonet Mitchell
• Drew M Mittelman, DMD
• Shahab Mohiuddin, M.D.
• Miguel Enrique Montesino Jr., M.D.
• Mary Kathryn Montgomery
• Sarah Marie Montgomery, MA

• Sports Medicine (Orthopaedic Surgery) Physician in Dedham, MA
• Providers in Dedham, MA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.

Verify at the official NPI Registry.