Individual provider Active NPI

Kamau Karanja

  • Family Medicine Physician
  • Waltham, MA
National Provider Identifier
1720147895
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160304 Issued in MA
Practice address
564 Main St
Waltham, MA 02452-5516
Phone
(781) 693-3800
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 160304 MA Primary

Addresses

Primary practice location

564 Main St
Waltham, MA 02452-5516

Mailing address

564 Main St
Waltham, MA 02452-5516
Phone (781) 693-3800

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
I20050830000416 MA Practitioner - Internal Medicine 7810928819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians

Practice addresses (Care Compare)

25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896

Hospital & facility affiliations

  • Elara Caring Home health agency, Braintree, MA, CCN 227475
  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Massachusetts Institute of Technology CurrentSince Apr 11, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2014 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 1, 2014 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

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

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

Organizations & group practices 6

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1720147895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-693-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024525516",
            "telephone_number": "781-693-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "KAMAU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "160304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.