Organization Active NPI

Kablotsky Internal Medicine PLLC

  • Internal Medicine Physician
  • Hudson, MA
National Provider Identifier
1841096815
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KABLOTSKY INTERNAL MEDICINE PLLC
Practice address
1 Cabot Rd Ste 101
Hudson, MA 01749-2963
Phone
(978) 562-3536
Fax
(978) 562-4626
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Dr. Christian L Potter-Kablotsky, MDNPI 1912967613
Title
Manager
Phone
(508) 353-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1 Cabot Rd Ste 101
Hudson, MA 01749-2963

Mailing address

1 Cabot Rd Ste 101
Hudson, MA 01749-2963
Phone (978) 562-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416000339 MA Part B Supplier - Clinic/Group Practice 8123543881 Receives reassigned benefits from 10 practitioners
Practice locations: Hudson, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2321940Kablotsky Internal Medicine1 Cabot Road, Hudson, MA 01749Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1 Cabot Rd
Ste 101
Hudson, MA 01749
Phone (978) 562-3536

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1841096815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CABOT RD STE 101",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492963",
            "telephone_number": "978-562-3536",
            "fax_number": "978-562-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CABOT RD STE 101",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492963",
            "telephone_number": "978-562-3536",
            "fax_number": "978-562-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABLOTSKY INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "POTTER-KABLOTSKY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-353-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.