Individual provider Active NPI

Karen Jean Poley, MD

  • Obstetrics & Gynecology Physician
  • Brighton, MA
National Provider Identifier
1477549368
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156685 Issued in MA
Practice address
11 Nevins St.
Ste 407
Brighton, MA 02135
Phone
(617) 783-0095
Fax
(617) 783-4460
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 156685 MA
Obstetrics & Gynecology Physician 207V00000X 156685 MA Primary

Addresses

Primary practice location

11 Nevins St.
Ste 407
Brighton, MA 02135

Mailing address

77 Warren St
RM 339
Brookline, MA 02135
Phone (617) 562-5359

Other practice location 1

480 Pleasant St Ste A200
Watertown, MA 02472-2462
Phone (617) 356-8282

Other identifiers 1

IdentifierTypeStateIssuer
3181553MedicaidMA

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
I20090122000111 MA Practitioner - Obstetrics/Gynecology 1254495112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

480 Pleasant St
Suite A200
Watertown, MA 02472-2462
Phone (617) 356-8282

Hospital & facility affiliations

  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156685MAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Mount Auburn Professional Services Inc Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Mt Auburn Professional Services Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Mount Auburn Hospital Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

226 Harvard Ave
Boston, MA 02134
Phone (617) 751-5500

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
Ste 407
Brighton, MA 02135
Phone (617) 562-7474

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

77 Warren St
Fl 2
Brighton, MA 02135
Phone (617) 562-5525

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

480 Pleasant St
Ste A200
Watertown, MA 02472
Phone (617) 356-8282

Interoperability endpoints

  • Direct secure messaging: kpoley507219@direct.bilh.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1477549368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "address_2": "RM 339",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-562-5359",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NEVINS ST.",
            "address_2": "STE 407",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-783-0095",
            "fax_number": "617-783-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Pleasant St Ste A200",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722462",
            "country_code": "US",
            "telephone_number": "617-356-8282",
            "fax_number": "857-737-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEY",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "156685",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "156685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181553",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.