Individual provider Active NPI

Kay Shou-Mei Kane, M.D.

  • Dermatology Physician
  • Cambridge, MA
National Provider Identifier
1790773828
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
154009 Issued in MA
Practice address
725 Concord Ave
Suite 4100
Cambridge, MA 02138-1040
Phone
(617) 864-8822
Fax
(617) 547-5367
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 154009 MA Primary

Addresses

Primary practice location

725 Concord Ave
Suite 4100
Cambridge, MA 02138-1040

Mailing address

30 Washington St
Newton, MA 02458-2220
Phone (617) 796-7959

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
I20080612000476 MA Practitioner - Dermatology 3173694502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians
Children'S Hospital Pediatric Associates, IncGroup PAC ID 3476541830, 333 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions988
Skin biopsy281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154009MAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skincare Physicians Inc Dermatology CurrentSince Jan 6, 1998 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Sep 16, 2017 Accepting new patients
Children'S Hospital Pediatric Associates, Inc Dermatology CurrentSince May 1, 2014 Accepting new patients
Skincarephysicians Dermatology Past Accepting new patients
Skincare Physicians St Elizabeths Inc Dermatology PastSince Jan 6, 1998 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

725 Concord Ave
Ste 4100
Cambridge, MA 02138
Phone (617) 864-8822

1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600

1244 Boylston St
Ste 302
Chestnut Hill, MA 02467
Phone (617) 731-1600

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

Interoperability endpoints

  • Direct secure messaging: kkane26054@direct.bostonchildrens.org
  • Direct secure messaging: kkane@scp.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1790773828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582220",
            "telephone_number": "617-796-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE",
            "address_2": "SUITE 4100",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381040",
            "telephone_number": "617-864-8822",
            "fax_number": "617-547-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "KAY",
        "middle_name": "SHOU-MEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "154009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.