Individual provider Active NPI

Kyle K Pond, MD

  • Cardiovascular Disease Physician
  • Cambridge, MA
National Provider Identifier
1326090622
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
217038 Issued in MA
Practice address
300 Mount Auburn St
Cardiology Department
Cambridge, MA 02138-5600
Phone
(617) 497-1560
Fax
(617) 497-1109
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217038 MA
Cardiovascular Disease Physician 207RC0000X 217038 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
Cardiology Department
Cambridge, MA 02138-5600

Mailing address

300 Mount Auburn St
Suite 310
Cambridge, MA 02138-5600
Phone (617) 497-1560

Other identifiers 10

IdentifierTypeStateIssuer
0038731OtherMANEIGHBORHOOD HEALTH PLAN
1326090622OtherMABOSTON MEDICAL CENTER HEALTH NET PLAN
1326134OtherMAAETNA HEALTH PLAN
116834OtherMAFALLON HEALTH PLAN
2114054MedicaidMA
2145624OtherMACIGNA HEALTH PLAN
466625OtherMATUFTS
96423501OtherMANETWORK HEALTH
AA64565OtherMAHARVARD PILGRIM
J40259OtherMABCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060619000111 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3678585494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Duke University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Auburn Cardiology Associates IncGroup PAC ID 5991713836, 11 clinicians
Macro, Inc.Group PAC ID 9537183108, 10 clinicians

Practice addresses (Care Compare)

300 Mount Auburn St
Cambridge, MA 02138-5600

300 Mount Auburn St
Suite 310
Cambridge, MA 02138-5665
Phone (617) 497-1560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217038MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macro, Inc. Cardiovascular Disease CurrentSince Mar 15, 2006 Accepting new patients

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

725 Concord Ave
Ste 3200
Cambridge, MA 02138
Phone (617) 354-8767

300 Mount Auburn St
Ste 310
Cambridge, MA 02138
Phone (617) 497-1560

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

Interoperability endpoints

  • Direct secure messaging: kpond560451@direct.bilh.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1326090622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 310",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-497-1560",
            "fax_number": "617-497-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "CARDIOLOGY DEPARTMENT",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-497-1560",
            "fax_number": "617-497-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POND",
        "first_name": "KYLE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "217038",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "217038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0038731",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER HEALTH NET PLAN",
            "identifier": "1326090622",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "1326134",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "116834",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "2145624",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "466625",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "96423501",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA64565",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J40259",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.