Individual provider Active NPI

George P Kinzfogl III, MD

  • Cardiovascular Disease Physician
  • Framingham, MA
National Provider Identifier
1528059144
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
214550 Issued in MA
Practice address
99 Lincoln St
Framingham, MA 01702-6327
Phone
(508) 875-4811
Fax
(508) 875-5942
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 214550 MA Primary

Addresses

Primary practice location

99 Lincoln St
Framingham, MA 01702-6327

Mailing address

99 Lincoln St
Framingham, MA 01702-6327
Phone (508) 875-4811

Other identifiers 10

IdentifierTypeStateIssuer
AA15449OtherHPHC
2045222MedicaidMA
J27251OtherMABCBSMA
3465688OtherCIGNA
3543758OtherAETNA/USHC
465552OtherTUFTS
P001177639OtherPALMETTO GBA (RR MCARE)
0032798OtherNHP
86109OtherFALLON
030390670OtherUHC

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
I20040413000122 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183618143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center of Metrowest, Inc.Group PAC ID 9931150166, 16 clinicians

Practice addresses (Care Compare)

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 875-4811

99 Lincoln St
Framingham, MA 01702-6327
Phone (508) 875-4811

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Imaging Center LLC CurrentSince Feb 23, 2016 Accepting new patients
Heart Center of Metrowest Inc Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

99 Lincoln St
#2
Framingham, MA 01702
Phone (508) 875-4811

99 Lincoln St
Framingham, MA 01702
Phone (508) 875-4811

Interoperability endpoints

  • Direct secure messaging: gkinzfogl48123@tuftsmedicine.direct-ci.com
  • Direct secure messaging: gkinzfogl83785@direct.southcoast.org

Organizations & group practices 3

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 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1528059144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026327",
            "telephone_number": "508-875-4811",
            "fax_number": "508-875-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026327",
            "telephone_number": "508-875-4811",
            "fax_number": "508-875-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZFOGL",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "214550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA15449",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J27251",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3465688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC",
            "identifier": "3543758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "465552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA (RR MCARE)",
            "identifier": "P001177639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0032798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "86109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "030390670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.