Active NPI
Katherine Ailene Hesse, MD, MSW
- Geriatric Medicine (Internal Medicine) Physician
- Boston, MA
National Provider Identifier
1528040698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 47630
- Practice address
- 100 Charles River PLZ
Ste 501 CPZ 502, MGH Senior Health
Boston, MA 02114-2723 - Phone
- (617) 726-4600
- Fax
- (617) 228-6306
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47630 | MA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 47630 | MA | Primary |
Addresses
Primary practice location
100 Charles River PLZ
Ste 501 CPZ 502, MGH Senior Health
Boston, MA 02114-2723
Mailing address
PO Box 9142
Mass. General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 726-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708223 | Other | MA | TUFTS HEALTH PLAN |
| E05771 | Other | MA | BCBS OF MA |
| 0162175 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1528040698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9142",
"address_2": "MASS. GENERAL PHYSICIAN ORGANIZATION",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021299142",
"telephone_number": "617-726-4600",
"fax_number": "617-228-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHARLES RIVER PLZ",
"address_2": "STE 501 CPZ 502, MGH SENIOR HEALTH",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142723",
"telephone_number": "617-726-4600",
"fax_number": "617-228-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESSE",
"first_name": "KATHERINE",
"middle_name": "AILENE",
"name_prefix": "Dr.",
"credential": "MD, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "47630",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MA",
"license": "47630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "708223",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "E05771",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0162175",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.