Active NPI
Karen Esther Victor, M.D.
- Internal Medicine Physician
- Cambridge, MA
National Provider Identifier
1669505269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 56133
- Practice address
- 725 Concord Ave Ste 2000
Cambridge, MA 02138-1052 - Phone
- (617) 661-4600
- Fax
- (617) 547-9170
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56133 | MA | Primary |
Addresses
Primary practice location
725 Concord Ave Ste 2000
Cambridge, MA 02138-1052
Mailing address
725 Concord Ave Ste 2000
Cambridge, MA 02138-1052
Phone (617) 661-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125823 | Medicaid | MA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504000300 | MA | Practitioner - Internal Medicine | 8921096405 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56133 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1669505269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 CONCORD AVE STE 2000",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381052",
"telephone_number": "617-661-4600",
"fax_number": "617-547-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 CONCORD AVE STE 2000",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381052",
"telephone_number": "617-661-4600",
"fax_number": "617-547-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTOR",
"first_name": "KAREN",
"middle_name": "ESTHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "56133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3125823",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.