Individual provider Active NPI

Kristen McCarthy, D.O.

  • Family Medicine Physician
  • Westford, MA
National Provider Identifier
1457588162
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
241703 Issued in MA
Practice address
133 Littleton Rd
Suite 202
Westford, MA 01886-3098
Phone
(978) 577-1946
Fax
(978) 692-4716
NPI assigned
Jun 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 241703 MA Primary

Addresses

Primary practice location

133 Littleton Rd
Suite 202
Westford, MA 01886-3098

Mailing address

133 Littleton Rd
Suite 202
Westford, MA 01886-3098
Phone (978) 577-1946

Other names 1

  • Kristen Kavulich Other name

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
I20130402000413 MA Practitioner - Family Practice 1850536434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 202
Westford, MA 01886-3198
Phone (978) 577-1946

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241703MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jul 1, 2019 Accepting new patients
Everest Health Care Specialists PLLC PastSince Mar 3, 2011 Accepting new patients

Locations

133 Littleton Rd
Ste 202
Westford, MA 01886
Phone (978) 577-1946

Interoperability endpoints

  • Direct secure messaging: mccarthy.kristen.mgbcp@direct.partners.masshiway.net

Organizations & group practices 4

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 2

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": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1457588162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 202",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863098",
            "telephone_number": "978-577-1946",
            "fax_number": "978-692-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 202",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863098",
            "telephone_number": "978-577-1946",
            "fax_number": "978-692-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KRISTEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "241703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KAVULICH",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.