Individual provider Active NPI

Kimberly Renee Buckman, M.D.

  • Internal Medicine Physician
  • Wayland, MA
National Provider Identifier
1699793786
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
150122 Issued in MA
Practice address
241 Boston Post Rd Ste 3B
Wayland, MA 01778-1836
Phone
(508) 318-1370
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 150122 MA Primary

Addresses

Primary practice location

241 Boston Post Rd Ste 3B
Wayland, MA 01778-1836

Mailing address

4950 Communication Ave Ste 100
Boca Raton, FL 33431-3308
Phone (561) 982-4300

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
I20101014000455 MA Practitioner - Internal Medicine 8527250174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value in Prevention of Massachusetts LLCGroup PAC ID 6406110774, 3 clinicians

Practice addresses (Care Compare)

241 Boston Post Rd
Suite 3B
Wayland, MA 01778-1836
Phone (508) 318-1370

Hospital & facility affiliations

  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150122MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Value in Prevention of Massachusetts, LLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

4950 Communication Ave
Ste 100
Boca Raton, FL 33431
Phone (561) 982-4300

241 Boston Post Rd
Ste 3B
Wayland, MA 01778
Phone (508) 318-1370

349 Route 28
Ste A
West Yarmouth, MA 02673
Phone (508) 394-2017

Interoperability endpoints

  • Direct secure messaging: kimberly.buckman.npi1699793786.reliant@direct.optumcare.masshiway.net
  • Direct secure messaging: kimberly.buckman.1@17409.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1699793786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 COMMUNICATION AVE STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313308",
            "telephone_number": "561-982-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 BOSTON POST RD STE 3B",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781836",
            "telephone_number": "508-318-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMAN",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "150122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.