Individual provider Active NPI

Meenakshi B Kumar, M.D.

  • Family Medicine Physician
  • Wellesley, MA
National Provider Identifier
1417982513
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
222266 Issued in MA
Practice address
170 Worcester St
Wellesley, MA 02481-5506
Phone
(781) 431-1333
Fax
(781) 431-1933
NPI assigned
Jul 11, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 222266 MA Primary

Addresses

Primary practice location

170 Worcester St
Wellesley, MA 02481-5506

Mailing address

170 Worcester St
Wellesley, MA 02481-5506
Phone (781) 431-1333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000032 MA Practitioner - Family Practice 7810962172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

2500 Massachusetts Ave
Cambridge, MA 02140-1628
Phone (617) 661-6225

57 Bedford St
Suite 130
Lexington, MA 02420-4543
Phone (781) 862-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Harbor Health Services, Inc. CurrentSince Oct 8, 2008 Accepting new patients
South Boston Community Health Center CurrentSince Mar 1, 2016 Accepting new patients
Harbor Health Services, Inc. CurrentSince Oct 8, 2008 Accepting new patients
Mount Auburn Professional Services Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mkumar253066@direct.bilh.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1417982513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815506",
            "telephone_number": "781-431-1333",
            "fax_number": "781-431-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815506",
            "telephone_number": "781-431-1333",
            "fax_number": "781-431-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MEENAKSHI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "222266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.