Active NPI
Michael Aloysius Kane, MD
- Internal Medicine Physician
- Cambridge, MA
National Provider Identifier
1376524769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31534
- Practice address
- 77 Massachusetts Ave
Mit Medical Department
Cambridge, MA 02139-4301 - Phone
- (617) 253-7825
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31534 | MA | Primary |
| Rheumatology Physician | 207RR0500X | 31534 | MA |
Addresses
Primary practice location
77 Massachusetts Ave
Mit Medical Department
Cambridge, MA 02139-4301
Mailing address
77 Massachusetts Ave
E23-395
Cambridge, MA 02139-4301
Phone (617) 253-4988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B11468 | Other | MA | BCBS MA |
| 0173126 | Medicaid | MA | |
| 731470 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1376524769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MASSACHUSETTS AVE",
"address_2": "E23-395",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394301",
"telephone_number": "617-253-4988",
"fax_number": "617-253-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MASSACHUSETTS AVE",
"address_2": "MIT MEDICAL DEPARTMENT",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394301",
"telephone_number": "617-253-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "MICHAEL",
"middle_name": "ALOYSIUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "31534",
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "31534",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "B11468",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0173126",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "731470",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.