Karen Fortune, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

159413 Issued in MA

Practice address

20 Research PL Ste 320
N Chelmsford, MA 01863-2455

Phone

(978) 256-1858

Fax

(978) 788-7890

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 20

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

Obstetrics/Gynecology

Education

University of Rochester School of Medicine and Dentistry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Circle Health OBGYN, LLC.Group PAC ID 1052483476, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: karen.fortune@womanhealth.circlehealthdirect.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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.

• Circle Health OBGYN, LLC.

  • Obstetrics & Gynecology Physician
  • North Chelmsford, MA
  • NPI 1912179870
  Medicare reassignment Care Compare group
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1740238526
  NPD (past)
• LGH Womanhealth

  • Obstetrics & Gynecology Physician
  • Chelmsford, MA
  • NPI 1467433359
  NPD (past)
• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)

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

• The Lowell General Hospital

  dba Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1316901127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 320",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 320",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-256-1858",
            "fax_number": "978-788-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "159413",
            "primary": true
        }
    ],
    "identifiers": [
        {
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        },
        {
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            "issuer": "NETWORK HEALTH",
            "identifier": "1316901127",
            "state": "MA"
        },
        {
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            "desc": "Other (non-Medicare)",
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        },
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            "issuer": "CIGNA",
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        {
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3198219",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA114657",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/TRICARE",
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            "state": "MA"
        },
        {
            "code": "01",
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            "issuer": "UNITED HEALTH CARE",
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            "state": "MA"
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "131690127",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
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            "state": "MA"
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            "issuer": "BCBS MA",
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    "endpoints": [],
    "other_names": []
}

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• Kailey Teresa Fasugba, LMHC
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• I- Spine Intervention LLC

• Specialist in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.