Individual provider Active NPI

Mandy Kaur, M.D.

  • Family Medicine Physician
  • Reading, MA
National Provider Identifier
1730116328
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49926 Issued in MA
Practice address
274 Main St
Reading, MA 01867-3611
Phone
(781) 944-8960
Fax
(781) 944-8977
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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 49926 MA Primary

Addresses

Primary practice location

274 Main St
Reading, MA 01867-3611

Mailing address

274 Main St
Reading, MA 01867-3611
Phone (781) 944-8960

Other identifiers 1

IdentifierTypeStateIssuer
6178022MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20051105000222 MA Practitioner - Family Practice 6608894852 Reassigns benefits to 2 organizations
I20211210001096 NH Practitioner - Family Practice 6608894852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

203 Turnpike St
Suite 300
North Andover, MA 01845-5042
Phone (978) 269-0030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49926MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Aug 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2019 Accepting new patients
Revere Medical of Massachusetts, PC Family Medicine CurrentSince Dec 21, 2024 Accepting new patients
Melrose Wakefield Cardiac Testing Partnership 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

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

203 Turnpike St
Ste 300
North Andover, MA 01845
Phone (978) 269-0030

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

22 Keewaydin Dr
Salem, NH 03079
Phone (603) 685-6977

Interoperability endpoints

  • Direct secure messaging: mandy.kaur.1@32866.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1730116328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673611",
            "telephone_number": "781-944-8960",
            "fax_number": "781-944-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MAIN ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673611",
            "telephone_number": "781-944-8960",
            "fax_number": "781-944-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANDY",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "49926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6178022",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

Verify at the official NPI Registry.