Papa Kaku Badoe, MD
Individual provider Active NPI Internal Medicine Physician · Plainville, MA
NPI 1659359487 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1659359487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 152798 (MA)
- Practice address
- 60 Messenger St
Plainville, MA 02762-2258 - Phone
- (508) 809-6378
- Fax
- (508) 342-1912
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Revere Medical of Massachusetts PC
Massachusetts Institute of Technology
Sturdy Health Inc
Practice addresses (Care Compare)
2005 Bay St
Suite 201
Taunton, MA 02780-1085
Phone (508) 822-2266
25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896
60 Messenger St
Plainville, MA 02762-2258
Phone (508) 695-0055
Hospital & facility affiliations
- Accentcare Home Health of Massachusetts
- Amedisys Home Health Care
- Pathways Healthcare
- Sturdy Memorial Hospital
- Brown University Health Morton Hospital
- St Vincent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091111000066 | MA | Practitioner - Internal Medicine | 5597741363 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152798 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Revere Medical of Massachusetts, PC | Internal Medicine | Current |
Accepting new patients |
| Sturdy Health Inc | Current |
Accepting new patients | |
| Chadwick Medical Associates, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050
25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556
15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055
2005 Bay St
Ste 201
Taunton, MA 02780
Phone (508) 822-2266
100 Industrial Park Rd
Ste 1
Taunton, MA 02780
Phone (508) 822-2266
Interoperability endpoints
- papa.badoe.1@32866.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152798 | MA | Yes |
Addresses
Primary practice location
60 Messenger St
Plainville, MA 02762-2258
Mailing address
60 Messenger St
Plainville, MA 02762-2258
Phone (508) 809-6378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J44750 | Other | MA | BLUE CROSS |
| 110060928A | Medicaid | MA | |
| AA152319 | Other | MA | HARVARD PILGRIM |
Other providers in Plainville, MA
- Arkady T. Naiman
- Aspire Neurotherapeutics LLC
- Aspire Sports Medicine Inc
- Aspire TMS Clinic LLC
- Marisa Rae Babb-Wetherell
- Gerelyn Marleny Baez
- Phil Bannan
- Allie Barbosa
- Brittney Beaulieu
- Lisa A Belanger
All providers in Plainville, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.