Active NPI
Karen Quillen, M.D.
- Blood Banking & Transfusion Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 154579
- Practice address
- 133 Brookline Ave
Boston, MA 02215-3904 - Phone
- (671) 421-5950
- Fax
- (617) 421-8724
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 154579 | MA | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 154579 | MA | Primary |
Addresses
Primary practice location
133 Brookline Ave
Boston, MA 02215-3904
Mailing address
133 Brookline Ave
Boston, MA 02215-3904
Phone (671) 421-5950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30200181 | Medicaid | NH | |
| 3168263 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kquillenmd324290@direct.atrius.masshiway.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154579 | MA | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Boston University Mallory Pathology Associates, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
670 Albany St
Ste 3
Boston, MA 02118
Phone (617) 414-4291
800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- kquillen22662@direct.bilh.masshiway.net
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Anatomic Pathology & Clinical Pathology Physician
- Boston, MA
- NPI 1457308637
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1750354130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "671-421-5950",
"fax_number": "617-421-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BROOKLINE AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153904",
"telephone_number": "671-421-5950",
"fax_number": "617-421-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLEN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MA",
"license": "154579",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MA",
"license": "154579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200181",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3168263",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kquillenmd324290@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "133 Brookline Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "022153904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.