Individual provider Active NPI

Robin McKenzie, M.D.

  • Infectious Disease Physician
  • Boston, MA
National Provider Identifier
1851340533
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
277120 Issued in MA
Practice address
780 Albany St
Boston, MA 02118
Phone
(857) 654-1000
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D24339 MD
Infectious Disease Physician 207RI0200X 277120 MA Primary

Addresses

Primary practice location

780 Albany St
Boston, MA 02118

Mailing address

103 Longwood Ave
Brookline, MA 02446-6625

Other practice location 1

4940 Eastern Avenue B3N, RM 355
Baltimore, MD 21224
Phone (410) 550-9080

Other identifiers 1

IdentifierTypeStateIssuer
520002400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110413000240 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 1658555842 Reassigns benefits to 1 organization
I20190726001274 MA Practitioner - Internal MedicinePractitioner - Infectious Disease 1658555842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Emory University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Health Care for the Homeless Program, Inc.Group PAC ID 2668475419, 75 clinicians

Practice addresses (Care Compare)

112 Southampton St
Boston, MA 02118-2711
Phone (617) 534-2881

170 Morton St
Jamaica Plain, MA 02130-3735
Phone (617) 971-3229

1785 Columbus Ave
Roxbury, MA 02119-1041
Phone (857) 654-6610

363 Albany St
Boston, MA 02118-2503
Phone (857) 654-1865

444 Harrison Ave
Boston, MA 02118-2404
Phone (857) 654-1850

461 Walnut Ave
Stacy Kirkpatrick House
Jamaica Plain, MA 02130-2331
Phone (857) 654-1550

55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2707

780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Jul 17, 2019 Accepting new patients
Boston Health Care for the Homeless Program, Inc. CurrentSince Jul 17, 2019 Accepting new patients
Johns Hopkins University Infectious Disease CurrentSince Mar 1, 2000 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2000 Accepting new patients
Boston Health Care for the Homeless Program, Inc. Past Accepting new patients

Locations

780 Albany St
Boston, MA 02118
Phone (857) 654-1000

780 Albany St
#2130
Boston, MA 02118

4940 Eastern Ave
Baltimore, MD 21224

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

4940 Eastern Ave
Rm 355
Baltimore, MD 21224
Phone (410) 550-9080

Interoperability endpoints

  • Direct secure messaging: rmckenzie284614@direct.ochin.org
  • Direct secure messaging: rmckenzie36300@direct.hopkinsmedicine.org

Organizations & group practices 6

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1851340533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LONGWOOD AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALBANY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "857-654-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 EASTERN AVENUE B3N, RM 355",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21224",
            "country_code": "US",
            "telephone_number": "410-550-9080",
            "fax_number": "410-550-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D24339",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "277120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520002400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.