Individual provider Active NPI

Gregory Fenton, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1841272846
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79666 Issued in MA
Practice address
75 Kneeland St
Suite 201
Boston, MA 02111-1901
Phone
(617) 457-8140
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 79666 MA Primary

Addresses

Primary practice location

75 Kneeland St
Suite 201
Boston, MA 02111-1901

Mailing address

75 Kneeland St
Suite 201
Boston, MA 02111-1901
Phone (617) 457-8140

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
I20060510000464 MA Practitioner - Internal Medicine 7618874934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 267-0900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fenway Community Health Center, Inc CurrentSince Oct 4, 2024 Accepting new patients
Fenway Community Health Center, Inc CurrentSince Oct 4, 2024 Accepting new patients
Fenway Community Health Center, Inc Internal Medicine PastSince May 1, 2022 Accepting new patients

Locations

75 Kneeland St
Ste 201
Boston, MA 02111
Phone (617) 457-8140

1340 Boylston St
Boston, MA 02215
Phone (617) 267-0900

7 Haviland St
Boston, MA 02115
Phone (617) 267-0900

Interoperability endpoints

  • Direct secure messaging: gfenton19242@direct.ctc.masshiway.net

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1841272846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 KNEELAND ST",
            "address_2": "SUITE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111901",
            "telephone_number": "617-457-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 KNEELAND ST",
            "address_2": "SUITE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111901",
            "telephone_number": "617-457-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.