Individual provider Active NPI

William G. Kantar, M.D.

  • Psychiatry Physician
  • Newton, MA
National Provider Identifier
1336233642
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27796 Issued in MA
Practice address
382 Kenrick St
Newton, MA 02458-2708
Phone
(617) 969-2084
Fax
(617) 965-4821
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27796 MA Primary

Addresses

Primary practice location

382 Kenrick St
Newton, MA 02458-2708

Mailing address

382 Kenrick St
Newton, MA 02458-2708
Phone (617) 969-2084

Other identifiers 1

IdentifierTypeStateIssuer
0144312MedicaidMA

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
I20051019001079 MA Practitioner - Psychiatry 6507882453 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

382 Kenrick St
Newton, MA 02458-2708
Phone (617) 969-2084

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1336233642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 KENRICK ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582708",
            "telephone_number": "617-969-2084",
            "fax_number": "617-965-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 KENRICK ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582708",
            "telephone_number": "617-969-2084",
            "fax_number": "617-965-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAR",
        "first_name": "WILLIAM",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "27796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144312",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.