Individual provider Active NPI

James C Ku, MD

  • Urology Physician
  • Cambridge, MA
National Provider Identifier
1730188038
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
159177 Issued in MA
Practice address
300 Mount Auburn St
Suite 519
Cambridge, MA 02138-5600
Phone
(617) 547-4400
Fax
(617) 576-1076
NPI assigned
Jul 19, 2005
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 159177 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
Suite 519
Cambridge, MA 02138-5600

Mailing address

300 Mount Auburn St
Suite 519
Cambridge, MA 02138-5600
Phone (617) 547-4400

Other practice location 1

20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2700

Other identifiers 1

IdentifierTypeStateIssuer
3201121MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkumd13342@direct.atrius.masshiway.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159177MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince Oct 1, 2017 Accepting new patients
Massachusetts Institute of Technology CurrentSince Sep 13, 1999 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Oct 1, 2017 Accepting new patients

Locations

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

300 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5025

300 Mount Auburn St
Ste 302
Cambridge, MA 02138
Phone (617) 492-1625

300 Mount Auburn St
Ste 519
Cambridge, MA 02138
Phone (617) 354-3131

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jkumd13342@direct.atrius.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1730188038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 519",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-547-4400",
            "fax_number": "617-576-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 519",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-547-4400",
            "fax_number": "617-576-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Wall St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018034758",
            "country_code": "US",
            "telephone_number": "781-221-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KU",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "159177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3201121",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkumd13342@direct.atrius.masshiway.net",
            "affiliation": "N",
            "address_1": "20 Wall St",
            "city": "Burlington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018034758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.