Individual provider Active NPI

Michael Eric Kearney, PA-C

  • Physician Assistant
  • Stoughton, MA
National Provider Identifier
1609314079
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6080 Issued in MA
Practice address
55 Lewis Rd
Stoughton, MA 02072-4535
Phone
(508) 942-3380
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6080 MA Primary

Addresses

Primary practice location

55 Lewis Rd
Stoughton, MA 02072-4535

Mailing address

55 Lewis Rd
Stoughton, MA 02072-4535
Phone (508) 942-3380

Other practice location 1

60 Deer Run Dr
E Bridgewater, MA 02333-1668
Phone (508) 942-3380

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821000667 MA Practitioner - Physician Assistant 8325310733 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians Associates IncGroup PAC ID 7315931482, 31 clinicians
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

100 Highland St
Suite 123
Milton, MA 02186-3881
Phone (617) 698-8585

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

199 Reedsdale Rd
Milton, MA 02186-3926
Phone (617) 696-4600

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Affiliates Inc CurrentSince Aug 26, 2022 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Community Physicians Associates, Inc. CurrentSince Sep 18, 2023 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

100 Highland St
Ste 123
Milton, MA 02186
Phone (617) 696-3411

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

1093 N Main St
Randolph, MA 02368
Phone (781) 963-0676

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: mkearney447912@direct.bilh.masshiway.net

Organizations & group practices 5

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 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1609314079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LEWIS RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724535",
            "telephone_number": "508-942-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LEWIS RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724535",
            "telephone_number": "508-942-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Deer Run Dr",
            "address_purpose": "LOCATION",
            "city": "E Bridgewater",
            "state": "MA",
            "postal_code": "023331668",
            "country_code": "US",
            "telephone_number": "508-942-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "MICHAEL",
        "middle_name": "ERIC",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.