OrganizationActive
Srk MD, LLC
NPI 1578083119 · Internal Medicine Physician · Waltham, MA
Srk MD, LLC is a Internal Medicine Physician organization in Waltham, MA (NPI 1578083119).
Provider details
- NPI number
- 1578083119
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Steven R. Kanner, MD, LLC
- Organization subpart
- Yes
- Authorized official
- Steven Kanner, Owner(781) 684-0600
- License
- 209939 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
210 Bear Hill Rd Ste 304
Waltham, MA 02451-1025
Phone: (781) 684-0600
Fax: (781) 684-0601
Street-level locationGet directions
Mailing address
12 Bypass Rd
Lincoln, MA 01773-1202
Registry dates
- Enumerated
- 2017-06-25
- Last updated
- 2017-06-25
Frequently asked questions
- What is Srk MD, LLC's NPI number?
- Srk MD, LLC's National Provider Identifier (NPI) is 1578083119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Srk MD, LLC?
- Srk MD, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Srk MD, LLC located?
- Srk MD, LLC's practice location on file with NPPES is 210 Bear Hill Rd Ste 304, Waltham, MA 02451-1025.
- What is Srk MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Srk MD, LLC is (781) 684-0600.
- Who is the authorized official for Srk MD, LLC?
- The authorized official listed on Srk MD, LLC's NPPES record is Steven Kanner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Srk MD, LLC's NPI active?
- Yes — Srk MD, LLC's NPI (1578083119) is active in the NPPES registry as of the last update on 2017-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.