Individual provider Active NPI

Kendra Nicole Iskander, M.D.

  • Surgery Physician
  • Boston, MA
National Provider Identifier
1982863767
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
237620 Issued in MA
Practice address
1661 Washington St
Apt. 605
Boston, MA 02118-3331
Phone
(423) 432-8680
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 237620 MA Primary

Addresses

Primary practice location

1661 Washington St
Apt. 605
Boston, MA 02118-3331

Mailing address

1661 Washington St
Apt. 605
Boston, MA 02118-3331
Phone (423) 432-8680

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kiskander1657837@oc.providencedirect.org
Direct Messaging Address kiskander1657837@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237620MAMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: kendraiskander@ncss.allscriptsdirect.net
  • Direct secure messaging: kiskander1657837@oc.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1982863767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 WASHINGTON ST",
            "address_2": "APT. 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183331",
            "telephone_number": "423-432-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 WASHINGTON ST",
            "address_2": "APT. 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183331",
            "telephone_number": "423-432-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDER",
        "first_name": "KENDRA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "237620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kiskander1657837@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3304 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955407102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kiskander1657837@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2321 Harrison Ave Ste S",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.