Individual provider Active NPI

Kathleen Mary Greco, MD

  • Procedural Dermatology Physician
  • Winchester, MA
National Provider Identifier
1447274667
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
057881 Issued in MA
Practice address
77 Swanton St
Suite 1
Winchester, MA 01890-2039
Phone
(781) 729-6869
Fax
(617) 332-4974
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 057881 MA
Procedural Dermatology Physician 207NS0135X 057881 MA Primary

Addresses

Primary practice location

77 Swanton St
Suite 1
Winchester, MA 01890-2039

Mailing address

77 Swanton St
Suite 1
Winchester, MA 01890-2039
Phone (781) 729-6869

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
I20060316000606 MA Practitioner - Dermatology 4587671425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

77 Swanton St
Suite 1
Winchester, MA 01890-2039
Phone (781) 729-6869

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision75
Removal of skin lesions444
Removal of nail tissue1-10
Removal or shaving of skin growth160
Skin biopsy416

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057881MAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M Greco M.D. P.C. Specialist CurrentSince Sep 18, 2012 Accepting new patients

Locations

77 Swanton St
#1
Winchester, MA 01890
Phone (781) 729-6869

Interoperability endpoints

  • Direct secure messaging: greco.kathleen@elincdirect.org

Organizations & group practices 1

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 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1447274667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-6869",
            "fax_number": "617-332-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 1",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-6869",
            "fax_number": "617-332-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "057881",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "057881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

Verify at the official NPI Registry.