Active NPI
Luca Anna Koritsanszky, CNM
- Advanced Practice Midwife
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN2361985
- Practice address
- 850 Harrison Avenue
FL 4, Yawkey BLDG
Boston, MA 02118 - Phone
- (617) 414-2000
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN2361985 | MA | |
| Advanced Practice Midwife | 367A00000X | RN2361985 | MA | Primary |
Addresses
Primary practice location
850 Harrison Avenue
FL 4, Yawkey BLDG
Boston, MA 02118
Mailing address
801 Albany Street
FL G
Boston, MA 02119-3791
Other practice location 1
637 Washington St
Dorchester, MA 02124-3510
Phone (617) 825-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110186089A | 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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 Blue Hill Ave
Boston, MA 02126-2122
Phone (617) 296-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2361985 | MA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Mattapan Community Health Center Inc | Current | Accepting new patients | |
| Codman Square Health Center Inc | Current | Accepting new patients | |
| Boston University Obstetrics and Gynecology Foundation, Inc. | Current | Accepting new patients | |
| Mattapan Community Health Center Inc | Past | Accepting new patients |
Locations
850 Harrison Ave
Fl 4
Boston, MA 02118
Phone (617) 414-2000
850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000
720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000
637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211
1575 Blue Hill Ave
Mattapan, MA 02126
Phone (617) 296-0061
801 Albany St
Fl G
Roxbury, MA 02119
Interoperability endpoints
- lkoritsanszky587616@direct.ochin.org
- lkoritsanszky174964@direct.bmc.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.
-
- Clinic/Center
- Boston, MA
- NPI 1942869342
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1063459568
-
- Community Health Clinic/Center
- Dorchester Center, MA
- NPI 1396808309
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Federally Qualified Health Center (FQHC)
- Mattapan, MA
- NPI 1639240393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1417697442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY STREET",
"address_2": "FL G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HARRISON AVENUE",
"address_2": "FL 4, YAWKEY BLDG",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-414-2000"
}
],
"practiceLocations": [
{
"address_1": "637 Washington St",
"address_purpose": "LOCATION",
"city": "Dorchester",
"state": "MA",
"postal_code": "021243510",
"country_code": "US",
"telephone_number": "617-825-9660",
"fax_number": "617-288-7898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORITSANSZKY",
"first_name": "LUCA",
"middle_name": "ANNA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "RN2361985",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN2361985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110186089A",
"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 Feb 16, 2024; 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.