Jacob Kagan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

234622 Issued in MA

Practice address

30 Winter St
Boston, MA 02108-4720

Phone

(617) 426-0600

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Psychiatry

Education

JS Weill Medical College, Cornell University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WP Acquisition Sub LLCGroup PAC ID 7416291232, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.kagan@217402395590660.direct.elationemr.com

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.

• WP Acquisition Sub LLC

  • Psychiatry Physician
  • Haverhill, MA
  • NPI 1417420811
  Medicare reassignment Care Compare group NPD
• President & Fellows of Harvard College

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1952366312
  Medicare reassignment NPD
• JBK Health

  • Adult Mental Health Clinic/Center
  • S Hamilton, MA
  • NPI 1578305751
  NPD Authorized official
• President and Fellows of Harvard College

  • General Practice Dentistry
  • Boston, MA
  • NPI 1972761807
  NPD
• WP Acquisition Sub LLC

  • Psychiatric Hospital
  • Haverhill, MA
  • NPI 1023580479
  NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1336282565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084720",
            "telephone_number": "978-250-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084720",
            "telephone_number": "617-426-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "234622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rathachai Kaewlai, M.D.
• Nicolette Kafasis, PA-C
• Anne Y Kaferle, D.P.T
• Shayan Kafri, DMD
• Elana Rachel Kagan, PHD
• Leslee Kagan, N.P.
• Yoko Kagemoto, M.D.
• Kahak Ma Inc
• Rosie B Kahan
• Tamara Fastenberg Kahan, MD

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.