Active NPI
Kevin E Chan, M.D.
- Nephrology Physician
- Boston, MA
National Provider Identifier
1437330081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 234089
- Practice address
- MGH/Renal Associates
55 Fruit St, Bigelow 10 Ste 1003
Boston, MA 02114 - Phone
- (617) 726-5050
- NPI assigned
- Nov 23, 2007
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 234089 | MA | Primary |
Addresses
Primary practice location
MGH/Renal Associates
55 Fruit St, Bigelow 10 Ste 1003
Boston, MA 02114
Mailing address
27 Hill Street
Lexington, MA 02421
Phone (617) 651-2349
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": "1195776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1437330081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 HILL STREET",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "02421",
"telephone_number": "617-651-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MGH/RENAL ASSOCIATES",
"address_2": "55 FRUIT ST, BIGELOW 10 STE 1003",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "KEVIN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-23",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "234089",
"primary": true
}
],
"identifiers": [],
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.