Individual provider Active NPI

Jevon Plunkett-Rondeau, MD PHD

  • Pediatrics Physician
  • Hyannis, MA
National Provider Identifier
1952729410
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
270129 Issued in MA
Practice address
27 Park Street
Cape Cod Hospital - Medical Staff Office
Hyannis, MA 02601
Phone
(508) 862-5440
NPI assigned
Apr 2, 2014
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 270129 MA Primary

Addresses

Primary practice location

27 Park Street
Cape Cod Hospital - Medical Staff Office
Hyannis, MA 02601

Mailing address

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Other practice location 1

800 Washington Street
TUFTS MEDICAL CENTER - Pediatric Hospitalist Division
Boston, MA 02111
Phone (617) 636-8824

Other names 1

  • Jevon Plunkett Former name

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
I20170621002128 MA Practitioner - Pediatric Medicine 5799083622 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Pediatric Associates, Inc Pediatrics CurrentSince Jun 1, 2021 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Jul 31, 2017 Accepting new patients
Cape Cod Hospital Inc Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

27 Park St
Ofc
Hyannis, MA 02601
Phone (508) 862-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1952729410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PARK STREET",
            "address_2": "CAPE COD HOSPITAL - MEDICAL STAFF OFFICE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-862-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 WASHINGTON STREET",
            "address_2": "TUFTS MEDICAL CENTER - Pediatric Hospitalist Division",
            "address_purpose": "LOCATION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "country_code": "US",
            "telephone_number": "617-636-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUNKETT-RONDEAU",
        "first_name": "JEVON",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "270129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEVON",
            "last_name": "PLUNKETT",
            "credential": "MD PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.