Active NPI
Michael C Kearney, MD
- Urology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 209641
- Practice address
- 319 Longwood Ave
Boston, MA 02115-5728 - Phone
- (617) 277-0100
- Fax
- (617) 232-7571
- NPI assigned
- Aug 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 209641 | MA | Primary |
Addresses
Primary practice location
319 Longwood Ave
Boston, MA 02115-5728
Mailing address
319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 277-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170097 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Boston University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
400 Highland Ave
Suite 1
Salem, MA 01970-1783
Phone (978) 741-9500
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
- Wentworth-Douglass Hospital
- Brigham and Women'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209641 | MA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Urology | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients |
Locations
319 Longwood Ave
Ste 5
Boston, MA 02115
Phone (617) 277-0100
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
104 Endicott St
Ste 303
Danvers, MA 01923
Phone (978) 524-0050
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
400 Highland Ave
Salem, MA 01970
Phone (781) 599-0220
400 Highland Ave
Ste 6
Salem, MA 01970
Phone (781) 599-0220
400 Highland Ave
Ste 1
Salem, MA 01970
Phone (978) 741-9500
Interoperability endpoints
- kearney.michael.ucns@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
Urology
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386646909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-277-0100",
"fax_number": "617-232-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-277-0100",
"fax_number": "617-232-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "209641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0170097",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.