Kyoko Okamura MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

244234 Issued in MA

Legal business name

KYOKO OKAMURA MD PC

Practice address

1180 Beacon St
Suite Lla
Brookline, MA 02446-3885

Phone

(617) 232-8888

Fax

(617) 232-2055

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Kyoko Okamura, MDNPI 1922255371

Title

President

Phone

(617) 232-8888

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kyoko Okamura MD MPH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kyoko Okamura, MD, MPH

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1265745012
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyoko Okamura, MD, MPH

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1922255371
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1396197091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE LLA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON ST",
            "address_2": "SUITE LLA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463885",
            "telephone_number": "617-232-8888",
            "fax_number": "617-232-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYOKO OKAMURA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "OKAMURA",
        "authorized_official_first_name": "KYOKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-232-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "244234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088061A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA191261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Kushner, MSW
• Belinda Kussman, LICSW
• Hyejin Kwak, DMD
• Diane T Kwasnick, EDD
• Miran Kwon, DPT
• Kyoko Okamura, MD, MPH
• Denise Kyte
• L. Ioana Chirieac, MD, PC
• Jordanna Miriam L'Esperance, PSYD
• Lab DMD LLC

• Obstetrics & Gynecology Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.