Active NPI
Peter Kamande
- Case Management Registered Nurse
- Charlestown, MA
National Provider Identifier
1861028631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN2273090
- Practice address
- 529 Main St
Charlestown, MA 02129-1125 - Phone
- (617) 426-0600
- NPI assigned
- Mar 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN2273090 | MA | Primary |
Addresses
Primary practice location
529 Main St
Charlestown, MA 02129-1125
Mailing address
529 Main St
Charlestown, MA 02129-1125
Phone (617) 426-0600
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkamande@commonwealthcare.org | Direct | |
| Other URL | https://common-ground.commonwealthcare.org/ | ||
| CONNECT URL | https://common-ground.commonwealthcare.org/ | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Tower Office Park
Woburn, MA 01801-2113
Phone (508) 901-4685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2273090 | MA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | Accepting new patients |
Locations
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
50 Tower Office Park
Woburn, MA 01801
Phone (339) 345-2359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
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- Taunton, MA
- NPI 1225067481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1861028631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 MAIN ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291125",
"telephone_number": "617-426-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 MAIN ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291125",
"telephone_number": "617-426-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMANDE",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MA",
"license": "RN2273090",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkamande@commonwealthcare.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "529 Main St",
"city": "Charlestown",
"state": "MA",
"country_code": "US",
"postal_code": "021291125",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://common-ground.commonwealthcare.org/",
"affiliation": "N",
"address_1": "529 Main St",
"city": "Charlestown",
"state": "MA",
"country_code": "US",
"postal_code": "021291125",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://common-ground.commonwealthcare.org/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "529 Main St",
"city": "Charlestown",
"state": "MA",
"country_code": "US",
"postal_code": "021291125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.