OrganizationActive
Waltham Family Practice, PC
NPI 1477563377 · Family Medicine Physician · Waltham, MA
Provider details
- NPI number
- 1477563377
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Punyamurtula Kishore, President(617) 738-4640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9 Hope Ave
1st Floor
Waltham, MA 02453-2741
Phone: (781) 314-0191
Fax: (781) 314-0192
Street-level locationGet directions
Mailing address
59 Temple Pl
Boston, MA 02111-1307
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.