Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
NPI 1043250616 · Dermatology Physician · Boston, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is a Dermatology Physician organization in Boston, MA (NPI 1043250616).
Provider details
- NPI number
- 1043250616
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexandra Kimball, Chief Executive Officer(617) 632-7441
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Dermatology - Hmfp at Bidmc
- Doing business as
- Dermatology - Hmfp at Bidmc
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's NPI number?
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's National Provider Identifier (NPI) is 1043250616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc?
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc located?
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's practice location on file with NPPES is 330 Brookline Ave, Boston, MA 02215.
- What is Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's phone number?
- The practice phone number listed in the NPPES registry for Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is (617) 754-0355.
- Does Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc accept Medicare?
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc?
- The authorized official listed on Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's NPPES record is Alexandra Kimball, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's NPI active?
- Yes — Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc's NPI (1043250616) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.