Individual provider Active NPI

Kevin Frank Ollington, MD

  • Gastroenterology Physician
  • Beverly, MA
National Provider Identifier
1821258195
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
258252 Issued in MA
Practice address
100 Cummings Center, Ste 107C
Beverly, MA 01915-6128
Phone
(978) 232-1120
Fax
(978) 232-0110
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 258252 MA Primary

Addresses

Primary practice location

100 Cummings Center, Ste 107C
Beverly, MA 01915-6128

Mailing address

100 Cummings Center, Ste 107C
Beverly, MA 01915-6128
Phone (978) 232-1120

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
I20140715002075 MA Practitioner - Gastroenterology 3870626120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tufts University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

147 S Main St
Middleton, MA 01949-2446
Phone (978) 774-2555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Upper gastrointestinal (GI) endoscopy for acid reflux60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258252MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middleton Family Medicine Urgent Care, LLC CurrentSince Oct 4, 2021 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. CurrentSince Nov 8, 2019 Accepting new patients

Locations

100 Cummings Ctr
Ste 107C
Beverly, MA 01915
Phone (978) 232-1120

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

99 Conifer Hill Dr
Danvers, MA 01923
Phone (978) 774-2555

147 S Main St
Middleton, MA 01949
Phone (978) 774-2555

1 Orthopedics Dr
Ste 1
Peabody, MA 01960

Interoperability endpoints

  • Direct secure messaging: kevin.ollington.1@9808.direct.athenahealth.com

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 2

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1821258195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER, STE 107C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156128",
            "telephone_number": "978-232-1120",
            "fax_number": "978-232-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER, STE 107C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156128",
            "telephone_number": "978-232-1120",
            "fax_number": "978-232-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLINGTON",
        "first_name": "KEVIN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "258252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.