Individual provider Active NPI

Glenn S Kehlmann, M.D.

  • Internal Medicine Physician
  • Brookline, MA
National Provider Identifier
1942315908
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55467 Issued in MA
Practice address
637 Washington St
Suite 100
Brookline, MA 02446-4500
Phone
(617) 754-1700
Fax
(617) 754-1740
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 55467 MA Primary

Addresses

Primary practice location

637 Washington St
Suite 100
Brookline, MA 02446-4500

Mailing address

637 Washington St
Ste 100
Brookline, MA 02446-4500
Phone (617) 754-1700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412001017 MA Practitioner - Internal Medicine 7719924695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

637 Washington St
Brookline, MA 02446-4500
Phone (617) 734-3636

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Hebrew Seniorlife - Home Health Care Home health agency, Dedham, MA, CCN 227422
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Bayada Home Health Care, Inc Home health agency, Canton, MA, CCN 227551
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Hebrew Rehabilitation Center Long-term care hospital, Boston, MA, CCN 222007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Sep 30, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

637 Washington St
Brookline, MA 02446
Phone (617) 232-2811

637 Washington St
Ste 100
Brookline, MA 02446
Phone (617) 525-6969

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: gkehlmann253766@direct.bilh.masshiway.net

Organizations & group practices 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1942315908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "address_2": "STE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464500",
            "telephone_number": "617-754-1700",
            "fax_number": "617-754-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464500",
            "telephone_number": "617-754-1700",
            "fax_number": "617-754-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHLMANN",
        "first_name": "GLENN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "55467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.