Individual provider Active NPI

Kevin J Kaufmann, MD PHD

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1497736391
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55831 Issued in MA
Practice address
44 Washington St
Suite 103
Brookline, MA 02445-7130
Phone
(617) 484-0900
Fax
(617) 484-0971
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 55831 MA Primary

Addresses

Primary practice location

44 Washington St
Suite 103
Brookline, MA 02445-7130

Mailing address

PO Box 251
55 Trapelo Rd
Belmont, MA 02478
Phone (617) 484-0900

Other identifiers 3

IdentifierTypeStateIssuer
J05976OtherMABCBS MA
3035735MedicaidMA
055831OtherMATUFTS HEALTH PLAN

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
I20050404000573 MA Practitioner - Ophthalmology 2567419419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Eye Physicians and Surgeons, P.C.Group PAC ID 0244393973, 6 clinicians

Practice addresses (Care Compare)

44 Washington St
Suite 103a
Brookline, MA 02445-7167
Phone (617) 232-9600

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55831MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Eye Physicians & Surgeons, P.C. Ophthalmology CurrentSince Jul 1, 1988 Accepting new patients

Locations

0 Emerson Pl
Ste 2A
Boston, MA 02114
Phone (617) 484-0900

44 Washington St
Ste 103
Brookline, MA 02445
Phone (617) 484-0900

44 Washington St
Brookline, MA 02445
Phone (617) 232-9600

44 Washington St
Ste 103A
Brookline, MA 02445
Phone (617) 232-9600

Interoperability endpoints

  • Direct secure messaging: kevin.kaufman.1@16489.direct.athenahealth.com

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1497736391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "address_2": "55 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "02478",
            "telephone_number": "617-484-0900",
            "fax_number": "617-484-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITE 103",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-484-0900",
            "fax_number": "617-484-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMANN",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "55831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J05976",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035735",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "055831",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.