NPIMap

Individual provider Active NPI

Nahid B Kennedy, D.O.

  • Internal Medicine Physician
  • Hanover, MA
National Provider Identifier
1871561597
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
79640 Issued in MA
Practice address
135 Webster St
Hanover, MA 02339-1200
Phone
(781) 871-5030
Fax
(781) 871-5480
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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 79640 MA Primary

Addresses

Primary practice location

135 Webster St
Hanover, MA 02339-1200

Mailing address

PO Box 2302
Hanover, MA 02339-8301
Phone (781) 871-5030

Other identifiers 1

IdentifierTypeStateIssuer
3142540MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001113 MA Practitioner - Internal MedicinePractitioner - Hospitalist 9436180262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of New England, College of Osteo Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

851 Main St
Suite 25
Weymouth, MA 02190-1613
Phone (781) 871-5030

Hospital & facility affiliations

  • South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Ascend Hospice Hospice, Worcester, MA, CCN 221566
  • Croi Health Hospice, Norwell, MA, CCN 221583
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
  • Care One at Weymouth Nursing home, Weymouth, MA, CCN 225634
  • Cardigan Nursing & Rehabilitation Center Nursing home, Scituate, MA, CCN 225722
  • Southwood at Norwell Nursing Ctr Nursing home, Norwell, MA, CCN 225597
  • Hancock Park Rehabiliation and Nursing Center Nursing home, Quincy, MA, CCN 225718

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1994MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Associates CurrentSince Dec 24, 2018 Accepting new patients
Cardigan Nursing Home, Inc. Past Accepting new patients
Southwood at Norwell Nursing Center Past Accepting new patients
64 Performance Drive Operating Company, LLC Past Accepting new patients

Locations

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

851 Main St
Weymouth, MA 02190
Phone (617) 331-2250

851 Main St
Ste 25
Weymouth, MA 02190
Phone (781) 331-3100

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

851 Main St
Ste 14
Weymouth, MA 02190
Phone (781) 331-7464

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1871561597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2302",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023398301",
            "telephone_number": "781-871-5030",
            "fax_number": "781-871-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WEBSTER ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391200",
            "telephone_number": "781-871-5030",
            "fax_number": "781-871-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "NAHID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "79640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142540",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MA

Sources for this page

Verify at the official NPI Registry.