Individual provider Active NPI

Kumiko E Tanaka, MD

  • Obstetrics & Gynecology Physician
  • Wellesley, MA
National Provider Identifier
1619396900
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
286473 Issued in MA
Practice address
30 Washington St
Wellesley, MA 02481-1929
Phone
(781) 263-9110
Fax
(781) 263-9125
NPI assigned
Apr 15, 2014
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD16361 RI
Obstetrics & Gynecology Physician 207V00000X 286473 MA Primary

Addresses

Primary practice location

30 Washington St
Wellesley, MA 02481-1929

Mailing address

30 Washington St
Wellesley, MA 02481-1929
Phone (781) 263-9110

Other practice location 1

3300 Main Street
4th Fl, Suite D
Springfield, MA 01107-1112
Phone (413) 794-7045

Other practice location 2

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181001000825 RI Practitioner - Obstetrics/Gynecology 4284932153 Reassigns benefits to 1 organization
I20210622001049 MA Practitioner - Obstetrics/Gynecology 4284932153 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
About Women by Women a Professional CorporationGroup PAC ID 0749170306, 9 clinicians

Practice addresses (Care Compare)

30 Washington St
Wellesley, MA 02481-1929
Phone (781) 263-0033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286473MAMDObstetrics & Gynecology Physician
MD16361RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Dec 31, 2023 Accepting new patients
Lifespan Physician Group, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Obhg Massachusetts - Direct, P.C. CurrentSince Oct 1, 2022 Accepting new patients
Signature Healthcare Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Apr 1, 2024 Accepting new patients
Baystate Medical Practices, Inc Obstetrics & Gynecology CurrentSince Jun 18, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Nov 1, 2020 Accepting new patients
About Women by Women a Professional Corporation Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2023 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients
Obhg Massachusetts PC Obstetrics & Gynecology Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3300 Main St
Springfield, MA 01107
Phone (413) 794-7031

3300 Main St
Fl 4
Springfield, MA 01107
Phone (413) 794-5555

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

30 Washington St
Wellesley Hills, MA 02481
Phone (781) 263-0033

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

19 Friendship St
Unit 220
Newport, RI 02840
Phone (401) 848-5556

19 Friendship St
Unit G40
Newport, RI 02840
Phone (401) 848-5556

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: kumiko.tanaka@direct.signature.masshiway.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1619396900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811929",
            "telephone_number": "781-263-9110",
            "fax_number": "781-263-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811929",
            "telephone_number": "781-263-9110",
            "fax_number": "781-263-9125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Main Street",
            "address_2": "4th Fl, Suite D",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071112",
            "country_code": "US",
            "telephone_number": "413-794-7045",
            "fax_number": "413-794-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "KUMIKO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD16361",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "286473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.