Active NPI
Daneil Copertino Kuftinec, MD
- Urology Physician
- Concord, MA
National Provider Identifier
1801081609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 242407
- Practice address
- 131 Ornac Ste 740
Lahey Clinic Urological Instit
Concord, MA 01742-4162 - Phone
- (978) 369-5551
- Fax
- (978) 369-1580
- NPI assigned
- Sep 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 242407 | MA | Primary |
Addresses
Primary practice location
131 Ornac Ste 740
Lahey Clinic Urological Instit
Concord, MA 01742-4162
Mailing address
41 Mall Rd
Lahey Clinic, Inc.
Burlington, MA 01805-0001
Phone (781) 744-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110084414A | Medicaid | MA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
131 Ornac
Ste 740
Concord, MA 01742
Phone (978) 369-5551
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
Interoperability endpoints
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Urgent Care Clinic/Center
- Danvers, MA
- NPI 1316479660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1801081609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"address_2": "LAHEY CLINIC, INC.",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ORNAC STE 740",
"address_2": "LAHEY CLINIC UROLOGICAL INSTIT",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424162",
"telephone_number": "978-369-5551",
"fax_number": "978-369-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUFTINEC",
"first_name": "DANEIL",
"middle_name": "COPERTINO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "242407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110084414A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.