Kenneth M Reed, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

49076 Issued in MA

Practice address

104 Quarry St Ste 2
Quincy, MA 02169-4174

Phone

(617) 472-6764

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Id of Quincy LLCGroup PAC ID 3173911161, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Id of Quincy LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1053088377
  Medicare reassignment Care Compare group
• Integrated Dermatology of Plymouth, LLC

  • Dermatology Physician
  • Quincy, MA
  • NPI 1407445711
  NPD (past)

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

• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1295775732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N PEPPERELL RD # A",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496430",
            "telephone_number": "857-366-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUARRY ST STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694174",
            "telephone_number": "617-472-6764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Industrial Park Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604884",
            "country_code": "US",
            "telephone_number": "508-747-4424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "49076",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "49076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RC Quincy LLC
• Re-Anchored Therapy
• Edward J. Reardon, M.D.
• Jessica Grace Redfern, MAOM
• Noell Redfern, RDN, LDN
• Smirne Reed
• Nicole Rego
• Rehabilitation Specialists, Inc.
• Shalla Reid Barnes
• Marcia Euphazine Reid-Gordon

• Dermatology Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.