Individual provider Active NPI

Colleen A. Brownell-Krupat, M.D.

  • Pediatrics Physician
  • Weston, MA
National Provider Identifier
1841201993
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
231898 Issued in MA
Practice address
486 Boston Post Road
Weston, MA 02493-1529
Phone
(781) 899-4456
Fax
(781) 647-9578
NPI assigned
Aug 11, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A86520 CA
Pediatrics Physician 208000000X 231898 MA Primary

Addresses

Primary practice location

486 Boston Post Road
Weston, MA 02493-1529

Mailing address

486 Boston Post Road
Weston, MA 02493-1529
Phone (781) 899-4456

Other identifiers 1

IdentifierTypeStateIssuer
00A865200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86520CAMDPediatrics Physician
231898MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Pediatric Physicians, P.C. Current Accepting new patients
Dana-Farber Cancer Institute, Inc. Past Accepting new patients

Locations

490 Boston Post Rd
#C
Sudbury, MA 01776

486 Boston Post Rd
Weston, MA 02493
Phone (781) 899-4456

Interoperability endpoints

  • Direct secure messaging: brownell-krupat.colleen.wpp@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1841201993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BOSTON POST ROAD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931529",
            "telephone_number": "781-899-4456",
            "fax_number": "781-647-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 BOSTON POST ROAD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931529",
            "telephone_number": "781-899-4456",
            "fax_number": "781-647-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNELL-KRUPAT",
        "first_name": "COLLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86520",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "231898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A865200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.