Individual provider Active NPI

Kenneth Paul Gilbert, M.D.

  • Plastic Surgery Physician
  • North Easton, MA
National Provider Identifier
1801867189
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
51106 Issued in MA
Practice address
31 Roche Bros Way Ste 200
North Easton, MA 02356-1032
Phone
(508) 535-3376
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 51106 MA
Plastic Surgery Physician 208200000X 51106 MA Primary

Addresses

Primary practice location

31 Roche Bros Way Ste 200
North Easton, MA 02356-1032

Mailing address

31 Roche Bros Way Ste 200
North Easton, MA 02356-1032
Phone (508) 535-3376

Other identifiers 1

IdentifierTypeStateIssuer
3001741MedicaidMA

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
I20050323000904 MA Practitioner - Plastic and Reconstructive Surgery 2365498326 Reassigns benefits to 1 organization
Practice locations: Quincy, MA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
George Washington University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Dermatology Physicians PCGroup PAC ID 4789767104, 13 clinicians

Practice addresses (Care Compare)

31 Roche Bros Way
Suite 200
North Easton, MA 02356-1032
Phone (508) 238-3774

Merit-based Incentive Payment System (MIPS)

Final score
26.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51106MAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Dermatology Physicians, P.C. CurrentSince Apr 1, 2019 Accepting new patients
Kenneth Paul Gilbert Plastic Surgery PastSince Jan 1, 1990 Accepting new patients
Steward Medical Group, Inc PastSince Apr 1, 2019 Accepting new patients

Locations

31 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (508) 238-3774

1266 Furnace Brook Pkwy
Ste 403
Quincy, MA 02169
Phone (781) 424-3774

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1801867189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY STE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY STE 200",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-535-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "51106",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "51106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001741",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.