Individual provider Active NPI

Kimberly A Bucknor, M.D.

  • Internal Medicine Physician
  • Holyoke, MA
National Provider Identifier
1972814960
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254111 Issued in MA
Practice address
10 Hospital Dr Ste 106
Holyoke, MA 01040-6612
Phone
(413) 539-6830
Fax
(413) 538-6003
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 254111 MA Primary

Addresses

Primary practice location

10 Hospital Dr Ste 106
Holyoke, MA 01040-6612

Mailing address

10 Hospital Dr Ste 106
Holyoke, MA 01040-6612
Phone (413) 539-6830

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
I20130618000422 MA Practitioner - Internal Medicine 8325287642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603
Phone (413) 539-6830

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Dec 15, 2014 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Western Mass Physician Associates Inc Internal Medicine Current Accepting new patients
Western Mass Physician Associates Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hampden County Physician Associates, LLC Internal Medicine Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
Hampden County Physician Associates, LLC. Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

10 Hospital Dr
Ste 106
Holyoke, MA 01040
Phone (413) 536-2304

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

222 Carew St
Springfield, MA 01104
Phone (413) 732-4210

3400 Main St
Springfield, MA 01107
Phone (413) 794-8777

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1972814960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 106",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406612",
            "telephone_number": "413-539-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR STE 106",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406612",
            "telephone_number": "413-539-6830",
            "fax_number": "413-538-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNOR",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.