Individual provider Active NPI

Stella Kinyota, MD, MPH

  • Family Medicine Physician
  • Cambridge, MA
National Provider Identifier
1790913853
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253567 Issued in MA
Practice address
100 Binney St
Cambridge, MA 02142-1096
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 253567 MA Primary

Addresses

Primary practice location

100 Binney St
Cambridge, MA 02142-1096

Mailing address

316 Waverley St
Belmont, MA 02478-2422
Phone (617) 855-5230

Other practice location 1

316 Waverley St
Belmont, MA 02478-2422
Phone (617) 855-5230

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
I20130125000197 MA Practitioner - Family Practice 9537313663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Staniford St
Boston, MA 02114-2517
Phone (617) 903-5000

53 State St
Suite 106
Boston, MA 02109-2820
Phone (617) 903-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253567MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. Current Accepting new patients
Mass General Brigham Community Physicians Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jul 1, 2024 Accepting new patients
Winchester Physician Associates, Inc Family Medicine CurrentSince Apr 1, 2016 Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients
Winchester Physician Associates Past Accepting new patients

Locations

53 State St
Ste 106
Boston, MA 02109

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

100 Binney St
Cambridge, MA 02142

203 Main St
North Reading, MA 01864
Phone (978) 664-1990

88 Montvale Ave
Stoneham, MA 02180
Phone (781) 481-9255

2345 Main St
Tewksbury, MA 01876
Phone (978) 658-9931

Interoperability endpoints

  • Direct secure messaging: stella.kinyota.1@19957.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1790913853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WAVERLEY ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782422",
            "telephone_number": "617-855-5230",
            "fax_number": "240-348-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BINNEY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421096",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Waverley St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "MA",
            "postal_code": "024782422",
            "country_code": "US",
            "telephone_number": "617-855-5230",
            "fax_number": "240-348-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINYOTA",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "253567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.