Individual provider Active NPI

Peter Kamande

  • Case Management Registered Nurse
  • Charlestown, MA
National Provider Identifier
1861028631
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN2273090 Issued in MA
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

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219003438 MA Practitioner - Nurse Practitioner 2062993884 Reassigns benefits to 1 organization

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
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

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

LicenseStateTypeSpecialty
RN2273090MAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Feb 1, 2026 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.