Individual provider Active NPI

Kevin Lai, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1992134258
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4802 Issued in MA
Practice address
800 Washington St
142
Boston, MA 02111-1552
Phone
(617) 636-6317
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4802 MA Primary

Addresses

Primary practice location

800 Washington St
142
Boston, MA 02111-1552

Mailing address

157 Walden St
3
Cambridge, MA 02140-3306
Phone (857) 636-8051

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140328000034 MA Practitioner - Physician Assistant 1759512148 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Boston Urology LLCGroup PAC ID 1153516513, 44 clinicians

Practice addresses (Care Compare)

161 Worcester Rd
Framingham, MA 01701-5315

161 Worcester Rd
Suite 602
Framingham, MA 01701-5352

31 Roche Brothers Way
Suite 100
North Easton, MA 02356-1032
Phone (508) 238-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Urology Clinic Inc Current Accepting new patients
Gbu Bidco LLC Current Accepting new patients
Boston Urology Institute LLC CurrentSince Dec 1, 2021 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jun 1, 2016 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

910 Washington St
Ste 200
Dedham, MA 02026
Phone (508) 202-4318

161 Worcester Rd
Ste 602
Framingham, MA 01701
Phone (603) 479-4082

161 Worcester Rd
Ste 601
Framingham, MA 01701
Phone (508) 370-7703

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

Interoperability endpoints

  • Direct secure messaging: kevinlai@gbu.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1992134258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WALDEN ST",
            "address_2": "3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021403306",
            "telephone_number": "857-636-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "142",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.