NPIMap

Individual provider Active NPI

Christian L Potter-Kablotsky, MD

  • Internal Medicine Physician
  • Hudson, MA
National Provider Identifier
1912967613
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204760 Issued in MA
Practice address
1 Cabot Rd
Hudson, MA 01749-3713
Phone
(978) 562-4160
Fax
(978) 562-4626
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 204760 MA Primary

Addresses

Primary practice location

1 Cabot Rd
Hudson, MA 01749-3713

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other identifiers 1

IdentifierTypeStateIssuer
110000921AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address potter-kablotsky.christian.crm@direct.partners.masshiway.net

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
I20100623000140 MA Practitioner - Internal Medicine 4082745898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Massachusetts Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kablotsky Internal Medicine PLLCGroup PAC ID 8123543881, 7 clinicians

Practice addresses (Care Compare)

1 Cabot Rd
Suite 101
Hudson, MA 01749-2963
Phone (978) 562-3536

Hospital & facility affiliations

  • Preferred Transitions Home Health Care Inc Home health agency, Milford, MA, CCN 227666
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • West River Home Health Home health agency, Newton, MA, CCN 227456
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204760MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kablotsky Internal Medicine PLLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients

Locations

1 Cabot Rd
Ste 101
Hudson, MA 01749
Phone (978) 562-3536

Interoperability endpoints

  • Direct secure messaging: potter-kablotsky.christian.crm@direct.partners.masshiway.net

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.

Hospital & facility affiliations 9

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1912967613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CABOT RD",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017493713",
            "telephone_number": "978-562-4160",
            "fax_number": "978-562-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER-KABLOTSKY",
        "first_name": "CHRISTIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "204760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000921A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "potter-kablotsky.christian.crm@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "1 Cabot Rd Ste 101",
            "city": "Hudson",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017493713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

Verify at the official NPI Registry.