Individual provider Active NPI

Susan C. Kalish, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1790714335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
74151 Issued in MA
Practice address
1200 Centre St
Hebrew Rehabilitation Center
Boston, MA 02131-1011
Phone
(617) 363-8307
Fax
(617) 363-8929
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 74151 MA Primary

Addresses

Primary practice location

1200 Centre St
Hebrew Rehabilitation Center
Boston, MA 02131-1011

Mailing address

1200 Centre St
Hebrew Rehabilitation Center
Boston, MA 02131-1011
Phone (617) 363-8307

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
I20050420000078 MA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 4486692597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

100 Centre St
Brookline, MA 02446-2805
Phone (617) 363-8010

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8010

7000 Great Meadow Rd
Dedham, MA 02026-4090
Phone (617) 363-8010

Hospital & facility affiliations

  • Hebrew Seniorlife Hospice Care, Inc Hospice, Dedham, MA, CCN 221596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74151MAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Rehabilitation Center CurrentSince Dec 26, 1991 Accepting new patients
Hebrew Rehabilitation Center CurrentSince Dec 26, 1991 Accepting new patients

Locations

7000 Great Meadow Rd
Dedham, MA 02026
Phone (781) 234-9600

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

Organizations & group practices 2

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 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790714335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "address_2": "HEBREW REHABILITATION CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8307",
            "fax_number": "617-363-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "address_2": "HEBREW REHABILITATION CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8307",
            "fax_number": "617-363-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISH",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "74151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.