Individual provider Active NPI

Thomas P. Kaegi, M.D.

  • Internal Medicine Physician
  • Concord, MA
National Provider Identifier
1578552121
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79435 Issued in MA
Practice address
330 Baker Ave
Concord, MA 01742-2129
Phone
(978) 287-9350
Fax
(978) 287-9358
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79435 MA Primary

Addresses

Primary practice location

330 Baker Ave
Concord, MA 01742-2129

Mailing address

330 Baker Ave
Concord, MA 01742-2129
Phone (978) 287-9350

Other identifiers 2

IdentifierTypeStateIssuer
1004840MedicaidVT
3127427MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkaegimd179176@direct.atrius.masshiway.net

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
I20050502001172 MA Practitioner - Internal Medicine 6901798784

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Internal Medicine Current Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Atrius Health, Inc. Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

330 Baker Ave
Concord, MA 01742
Phone (978) 287-9300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1578552121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BAKER AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422129",
            "telephone_number": "978-287-9350",
            "fax_number": "978-287-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BAKER AVE",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422129",
            "telephone_number": "978-287-9350",
            "fax_number": "978-287-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEGI",
        "first_name": "THOMAS",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004840",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127427",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkaegimd179176@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "330 Baker Ave",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017422129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.