Active NPI
Michael Eric Kearney, PA-C
- Physician Assistant
- Stoughton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA6080
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Emerson Hospital -
- Beth Israel Deaconess Hospital Plymouth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Affiliates Inc | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Community Physicians Associates, Inc. | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Milton, MA
- NPI 1477832780
-
- Family Medicine Physician
- Plymouth, MA
- NPI 1538145131
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Orthopaedic Surgery Physician
- Concord, MA
- NPI 1891861050
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.