NPIMap

Individual provider Active NPI

Christina E Kwack-Yuhan, M.D.

  • Nephrology Physician
  • Woburn, MA
National Provider Identifier
1871673244
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
227037 Issued in MA
Practice address
Woburn Nephrology Associates, P.C.
23 Warren Ave Suite 150
Woburn, MA 01801
Phone
(781) 933-0710
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 227037 MA Primary

Addresses

Primary practice location

Woburn Nephrology Associates, P.C.
23 Warren Ave Suite 150
Woburn, MA 01801

Mailing address

185 Freeman St
Apt.#951
Brookline, MA 02446-3552
Phone (617) 879-0355

Other identifiers 1

IdentifierTypeStateIssuer
2137852MedicaidMA

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
I20070808000105 MA Practitioner - NephrologyPractitioner - Internal Medicine 9931290772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woburn Nephrology Associates PCGroup PAC ID 8820032485, 6 clinicians

Practice addresses (Care Compare)

5 Juniper LN
Dover, MA 02030-2146
Phone (508) 785-2284

92 Montvale Ave
Suite 2000
Stoneham, MA 02180-3654
Phone (781) 933-0710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woburn Nephrology Associates PC Nephrology Current Accepting new patients
Woburn Nephrology Associates PC Nephrology CurrentSince Jul 18, 2007 Accepting new patients
Personal Best Chiropractic LLC PastSince Apr 1, 2022 Accepting new patients

Locations

92 Montvale Ave
Ste 2000
Stoneham, MA 02180
Phone (781) 435-2284

23 Warren Ave
Ste 150
Woburn, MA 01801
Phone (781) 933-0710

Interoperability endpoints

  • Direct secure messaging: ckwackyuhan28737@tuftsmedicine.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1871673244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FREEMAN ST",
            "address_2": "APT.#951",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463552",
            "telephone_number": "617-879-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOBURN NEPHROLOGY ASSOCIATES, P.C.",
            "address_2": "23 WARREN AVE SUITE 150",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-933-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWACK-YUHAN",
        "first_name": "CHRISTINA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "227037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.