Active NPI
Kimberly H. Kinaka, MD
- Internal Medicine Physician
- Everett, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 234547
- Practice address
- 103 Garland St
Everett, MA 02149-5066 - Phone
- (617) 381-5061
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A77119 | CA | |
| Internal Medicine Physician | 207R00000X | 234547 | MA | Primary |
Addresses
Primary practice location
103 Garland St
Everett, MA 02149-5066
Mailing address
103 Garland St
Everett, MA 02149-5066
Phone (617) 381-5061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A771190 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080727000007 | MA | Practitioner - Internal Medicine | 1557256237 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
Hospital & facility affiliations
- Cambridge Health Alliance
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.27 of 100
- Quality
- 77.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
Interoperability endpoints
- kkinaka6058@direct.challiance.masshiway.net
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1447348313
-
- Community/Retail Pharmacy
- Cambridge, MA
- NPI 1558427823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1275604241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GARLAND ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495066",
"telephone_number": "617-381-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GARLAND ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "021495066",
"telephone_number": "617-381-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINAKA",
"first_name": "KIMBERLY",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A77119",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "234547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A771190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.