Active NPI
Haben F Kefella, M.D., M.H.S
- Ophthalmology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 260090
- Practice address
- 720 Harrison Ave
Boston, MA 02118-2371 - Phone
- (617) 414-5423
- Fax
- (617) 638-6744
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 260090 | MA | Primary |
Addresses
Primary practice location
720 Harrison Ave
Boston, MA 02118-2371
Mailing address
720 Harrison Ave
Boston, MA 02118-2371
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Yale University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31 Pine St
Suite 201
Norfolk, MA 02056-1680
Phone (508) 623-3880
825 Washington St
Suite 230
Norwood, MA 02062-3488
Phone (781) 769-8880
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260090 | MA | MD | Ophthalmology Physician |
| 274079 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Norwood Eye Care Specialists, LLC | Ophthalmology | Current | Accepting new patients |
| Eye Care Specialists PC | Ophthalmology | Current | Accepting new patients |
| Neighborhealth Corporation | Current | Accepting new patients | |
| Eye Care Specialists | Ophthalmology | Past | Accepting new patients |
Locations
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
31 Pine St
Ste 201
Norfolk, MA 02056
Phone (508) 623-3880
825 Washington St
Ste 230
Norwood, MA 02062
Phone (781) 769-8880
Interoperability endpoints
- hkefella@ecs.intellechartdirect.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.
-
- Ophthalmology Physician
- Norwood, MA
- NPI 1871777565
-
- Ophthalmology Physician
- Norwood, MA
- NPI 1942965421
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1629498290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371",
"telephone_number": "617-414-5423",
"fax_number": "617-638-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEFELLA",
"first_name": "HABEN",
"middle_name": "F",
"credential": "M.D., M.H.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "260090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.