Individual provider Active NPI

Anatoly Kazakin

  • Emergency Medicine Physician
  • New Bedford, MA
National Provider Identifier
1710399589
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD16801 Issued in RI
Practice address
101 Page St
New Bedford, MA 02740-3464
Phone
(508) 973-5771
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD16801 RI Primary
Emergency Medicine Physician 207P00000X 283419 MA

Addresses

Primary practice location

101 Page St
New Bedford, MA 02740-3464

Mailing address

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5771

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4247

Other practice location 2

115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000

Other practice location 3

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Other identifiers 1

IdentifierTypeStateIssuer
110156708AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190917002438 RI Practitioner - Emergency Medicine 2264659804 Reassigns benefits to 1 organization
I20210729003600 MA Practitioner - Emergency Medicine 2264659804 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Tufts University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Services of New England PCGroup PAC ID 9739487562, 23 clinicians

Practice addresses (Care Compare)

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283419MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of Massachusetts PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Sep 1, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Bid-Milton Physician Associates Inc CurrentSince Sep 1, 2021 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

910 Washington St
Dedham, MA 02026
Phone (781) 431-1333

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

100 Highland St
Milton, MA 02186
Phone (617) 615-4000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 10

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 2

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1710399589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PAGE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403464",
            "telephone_number": "508-973-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PAGE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403464",
            "telephone_number": "508-973-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4247",
            "fax_number": "401-444-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026358",
            "country_code": "US",
            "telephone_number": "508-383-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZAKIN",
        "first_name": "ANATOLY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD16801",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "283419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110156708A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.