NPIMap

Individual provider Active NPI

Lauren A Dolloff, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1457793911
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.4751 Issued in MA
Practice address
125 Parker Hill Ave
Boston, MA 02120-2847
Phone
(617) 754-5800
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.4751 MA Primary
Surgical Physician Assistant 363AS0400X PA4751 MA

Addresses

Primary practice location

125 Parker Hill Ave
Boston, MA 02120-2847

Mailing address

125 Parker Hill Ave
Boston, MA 02120-2847

Other names 1

  • Lauren A Kelly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423000786 MA Practitioner - Physician Assistant 2466684659 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Orthopaedic Alliance PLLC 288 clinicians

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 264-1100

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

40 Allied Dr
Suite 110
Dedham, MA 02026-6146
Phone (617) 264-1100

800 W Cummings Park
Suite 2250
Woburn, MA 01801-7034
Phone (781) 890-2133

Hospital & facility affiliations

  • New England Baptist Hospital Hospital, Boston, MA, CCN 220088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.4751MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Boston Sports & Shoulder Center, LLC CurrentSince Jan 2, 2020 Accepting new patients
Boston Sports & Shoulder Center, LLC CurrentSince Jan 2, 2020 Accepting new patients

Locations

830 Boylston St
Ste 107
Chestnut Hill, MA 02467
Phone (617) 264-1100

40 Allied Dr
Ste 110
Dedham, MA 02026
Phone (617) 264-1100

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

125 Parker Hill Ave
Ste 580
Roxbury Xing, MA 02120
Phone (617) 264-4848

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

71 Border Rd
Ste 300
Waltham, MA 02451
Phone (781) 890-2133

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/749/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.dolloff.2@749.direct.athenahealth.com

Organizations & group practices 25

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.

View all 25

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1457793911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLOFF",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA.4751",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA4751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KELLY",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.