Individual provider Active NPI

Karoline Sieracki Rede, MD

  • Student in an Organized Health Care Education/Training Program
  • Framingham, MA
National Provider Identifier
1437701687
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
280304 Issued in MA
Practice address
115 Lincoln St
Framingham, MA 01702-6342
Phone
(508) 383-1572
Fax
(508) 872-4794
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 280304 MA Primary

Addresses

Primary practice location

115 Lincoln St
Framingham, MA 01702-6342

Mailing address

115 Lincoln St
Framingham, MA 01702-6342
Phone (508) 383-1572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220915001930 MA Practitioner - Internal Medicine 7214312966 Reassigns benefits to 1 organization
I20260310003959 VT Practitioner - Internal MedicinePractitioner - Family Practice 7214312966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Cape Cod, Inc.Group PAC ID 4486699568, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

107 Commercial St
Mashpee, MA 02649-6507
Phone (508) 477-7090

123 Waterhouse Rd
Bourne, MA 02532-3890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280304MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 18, 2026 Accepting new patients
Community Health Center of Cape Cod, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Community Health Center of Cape Cod Inc CurrentSince Aug 29, 2022 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Jan 18, 2026 Accepting new patients

Locations

107 Commercial St
Mashpee, MA 02649
Phone (508) 539-6000

30 Vt Route 100 S
Wilmington, VT 05363
Phone (802) 464-3151

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.

Hospital & facility affiliations 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1437701687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026342",
            "telephone_number": "508-383-1572",
            "fax_number": "508-872-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026342",
            "telephone_number": "508-383-1572",
            "fax_number": "508-872-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERACKI REDE",
        "first_name": "KAROLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "280304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.