Individual provider Active NPI

Haben F Kefella, M.D., M.H.S

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1629498290
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
260090 Issued in MA
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

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612000817 MA Practitioner - Ophthalmology 1052530771 Reassigns benefits to 4 organizations

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
Eye Care Specialists PCGroup PAC ID 6002996725, 7 clinicians
Norwood Eye Care Specialists, LLCGroup PAC ID 5496145146, 7 clinicians

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

ProcedureNumber of procedures
Cataract surgery190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260090MAMDOphthalmology Physician
274079MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medical Associates-Ebnhc CurrentSince Dec 20, 2021 Accepting new patients
Norwood Eye Care Specialists, LLC Ophthalmology CurrentSince Oct 30, 2023 Accepting new patients
Eye Care Specialists PC Ophthalmology CurrentSince Oct 31, 2023 Accepting new patients
Neighborhealth Corporation CurrentSince Dec 20, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.