Individual provider Active NPI

Amy L. Klagges, P.A.

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1609888395
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1734 Issued in MA
Practice address
Brigham and Women'S Hospital
75 Francis Street
Boston, MA 02115
Phone
(617) 732-6660
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1734 MA Primary

Addresses

Primary practice location

Brigham and Women'S Hospital
75 Francis Street
Boston, MA 02115

Mailing address

435 Main Street
Unit #3
Charlestown, MA 02129
Phone (617) 732-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20150225002204 NH Practitioner - Physician Assistant 3072590785 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1062NHMDPhysical Therapy Assistant
1734MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Feb 9, 2014 Accepting new patients
Catholic Medical Center CurrentSince Feb 9, 2014 Accepting new patients
Compass Medical PC Past Accepting new patients

Locations

5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

Organizations & group practices 4

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609888395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MAIN STREET",
            "address_2": "UNIT #3",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "02129",
            "telephone_number": "617-732-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHAM AND WOMEN'S HOSPITAL",
            "address_2": "75 FRANCIS STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAGGES",
        "first_name": "AMY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.