Individual provider Active NPI

Masashi Kawabori, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lexington, KY
National Provider Identifier
1508273665
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
FL076 Issued in KY
Practice address
740 S Limestone Ste L304
Lexington, KY 40536-1552
Phone
(859) 323-6494
Fax
(859) 257-2573
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X FL076 KY Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 272964 MA

Addresses

Primary practice location

740 S Limestone Ste L304
Lexington, KY 40536-1552

Mailing address

33 Pond Ave
#504
Brookline, MA 02445-7163
Phone (617) 784-6480

Other practice location 1

33 Pond Ave
#504
Brookline, MA 02445-7163
Phone (617) 784-6480

Other practice location 2

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180222002607 MA Practitioner - Thoracic SurgeryPractitioner - General Surgery 8426319054 Reassigns benefits to 2 organizations
I20241014000733 KY Practitioner - Thoracic Surgery 8426319054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FL076KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
272964MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Surgical Associates Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 24, 2017 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. CurrentSince Aug 1, 2018 Accepting new patients
University of Kentucky CurrentSince Sep 19, 2024 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Sep 19, 2024 Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

Interoperability endpoints

  • Direct secure messaging: mkawabori45520@tuftsmedicine.direct-ci.com

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 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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1508273665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 POND AVE",
            "address_2": "#504",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457163",
            "telephone_number": "617-784-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE L304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361552",
            "telephone_number": "859-323-6494",
            "fax_number": "859-257-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Pond Ave",
            "address_2": "#504",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457163",
            "country_code": "US",
            "telephone_number": "617-784-6480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Washington St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021111552",
            "country_code": "US",
            "telephone_number": "617-636-5594",
            "fax_number": "617-636-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWABORI",
        "first_name": "MASASHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "FL076",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "272964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.