Daphne A. Haas-Kogan, M.D.
Individual provider Active NPI Radiation Oncology Physician · Boston, MA
NPI 1366484248 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1366484248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 262630 (MA)
- Practice address
- 75 Francis St
Boston, MA 02115-6110 - Phone
- (617) 732-5500
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of California, San Francisco School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brigham and Womens Physicians Organization Inc
Practice addresses (Care Compare)
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Dana-Farber Cancer Institute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Brigham & Womens Hospital Inc |
Hospital | Corporate Director | Sep 21, 2021 |
| Brigham and Women'S Faulkner Hospital, Inc. |
Hospital | Corporate Director | Sep 21, 2021 |
| Brigham and Women'S Faulkner Hospital Psychiatric Unit |
Hospital | Corporate Director | Sep 21, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150925000235 | MA | Practitioner - Anesthesiology | 6406930833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76324 | CA | MD | Radiation Oncology Physician |
| 262630 | MA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Radiation Oncology | Current |
Accepting new patients |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
Interoperability endpoints
- dhaaskogan22772@direct.bostonchildrens.org
- haas-kogan.daphne.dfci@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G76324 | CA | |
| Radiation Oncology Physician | 2085R0001X | 262630 | MA | Yes |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
375 Boylston St
Brookline, MA 02445-6007
Phone (857) 307-0867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G763240 | Medicaid | CA |
Other names
- Dr. Daphne A. Haas
Other providers in Boston, MA
- Joanna Ha
- Mason Nahun Ha
- Sierra Kaitlyn Ha
- Stephanie Ha
- Alexandra L Haagensen
- Andrea Haas
- Briana Mabel Haas
- Christopher Haas
- Eric N Haas
- Jennifer Haas
All providers in Boston, MA · Radiation Oncology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.