Celticare Health Plan of Massachusetts, Inc.
NPI 1023431145 · Health Maintenance Organization · Waltham, MA
Celticare Health Plan of Massachusetts, Inc. is a Health Maintenance Organization organization in Waltham, MA (NPI 1023431145).
Provider details
- NPI number
- 1023431145
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Centene Corporation
- Organization subpart
- Yes
- Authorized official
- Susan Kohler, Sr. Director, Ethics and Compliance(770) 743-3252
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2014-01-24
Frequently asked questions
- What is Celticare Health Plan of Massachusetts, Inc.'s NPI number?
- Celticare Health Plan of Massachusetts, Inc.'s National Provider Identifier (NPI) is 1023431145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Celticare Health Plan of Massachusetts, Inc.?
- Celticare Health Plan of Massachusetts, Inc. is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Celticare Health Plan of Massachusetts, Inc. located?
- Celticare Health Plan of Massachusetts, Inc.'s practice location on file with NPPES is 200 West St, Waltham, MA 02451-1121.
- What is Celticare Health Plan of Massachusetts, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Celticare Health Plan of Massachusetts, Inc. is (617) 779-5100.
- Who is the authorized official for Celticare Health Plan of Massachusetts, Inc.?
- The authorized official listed on Celticare Health Plan of Massachusetts, Inc.'s NPPES record is Susan Kohler, Sr. Director, Ethics and Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Celticare Health Plan of Massachusetts, Inc.'s NPI active?
- Yes — Celticare Health Plan of Massachusetts, Inc.'s NPI (1023431145) is active in the NPPES registry as of the last update on 2014-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.