Active NPI
Kimberly M Tresch, M.D.
- Pediatrics Physician
- Chelmsford, MA
National Provider Identifier
1992785125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 209652
- Practice address
- 228 Billerica Rd
Chelmsford, MA 01824-3604 - Phone
- (978) 250-6300
- Fax
- (978) 250-6335
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 209652 | MA | |
| Pediatrics Physician | 208000000X | 209652 | MA | Primary |
Addresses
Primary practice location
228 Billerica Rd
Chelmsford, MA 01824-3604
Mailing address
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0141941 | Medicaid | MA | |
| HV0047 | Other | MA | HARVARD PILGRIM |
| 209652 | Other | MA | TUFTS |
| J23947 | Other | MA | BLUE CROSS |
| 0023640 | Other | MA | NEIGHBORHOOD HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktresch12587@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209652 | MA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- ktresch31857@tuftsmedicine.direct-ci.com
- ktresch12587@direct.atrius.masshiway.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1992785125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 BILLERICA RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243604",
"telephone_number": "978-250-6300",
"fax_number": "978-250-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 BILLERICA RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018243604",
"telephone_number": "978-250-6300",
"fax_number": "978-250-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESCH",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MA",
"license": "209652",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "209652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0141941",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "HV0047",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "209652",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J23947",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0023640",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktresch12587@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "228 Billerica Rd",
"city": "Chelmsford",
"state": "MA",
"country_code": "US",
"postal_code": "018243604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.