Dr. Eugene Y. Kissin
Internal Medicine (Rheumatology)

Address: 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118-2526
Phone: 6176387460

Dr. Eugene Y. Kissin (NPI# 1295770386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1295770386
Entity Type Individual
Full Name Dr. Eugene Y. Kissin
Credential M.D.
Gender Male
Practice Address 725 Albany Street
Shapiro 7, Suite B
Boston
MA 02118-2526
Practice Telephone 6176387460
Practice Fax Number 6176385226
Mailing Address 720 Harrison Avenue
Dob 503
Boston
MA 02118
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-20
Last Update Date 2014-07-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 205613 MA
Yes 207RR0500X Internal Medicine · Rheumatology Allopathic & Osteopathic Physicians 205613 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA 110004735A MEDICAID

Physician Overview

NPI 1295770386
PAC ID by PECOS 8325935562
Professional Enrollment ID I20040302000718
Full Name Eugene Y. Kissin
Organization Legal Name EVANS MEDICAL FOUNDATION INC
Gender M
Credential MD
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty RHEUMATOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 7416946546
Number of Group Practice Members 364
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220031 BOSTON MEDICAL CENTER

Office Location

Street Address 725 ALBANY STREET
SHAPIRO 7, SUITE B
City BOSTON
State MA
Zip Code 02118-2526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699772715 Theresa Clare Weir Nurse Practitioner 725 Albany Street, Shapiro 5 and 6, Boston, MA 02118-2526 2005-07-05
1033670955 Kevin Keller Student in an Organized Health Care Education/Training Program 725 Albany Street, Precepting Room, Boston, MA 02128 2019-03-26
1982164737 Maria Irene Barillas Lara Student in an Organized Health Care Education/Training Program 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 2019-03-20
1053870956 Antreas Charidimou Student in an Organized Health Care Education/Training Program 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02118-2526 2019-03-19
1740749969 Amir Gilad Student in an Organized Health Care Education/Training Program 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 2019-03-18
1194284356 Sandro Marini Student in an Organized Health Care Education/Training Program 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02116 2019-03-18
1770042988 Matthew Custodio Student in an Organized Health Care Education/Training Program 725 Albany Street, Precepting Room, Boston, MA 02128 2019-03-18
1093287047 Adela Medina Nurse Practitioner 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 2018-12-31
1124501853 Jennifer Marie Becklehimer Nurse Practitioner 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 2018-09-09
1063904142 Erika Thoft-brown Physician Assistant 725 Albany Street, Shapiro Lower Level, Boston, MA 02118-2526 2018-06-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780145292 Fangnan Elisha Ndam Student in an Organized Health Care Education/Training Program 670 Albany Street 4th Floor, Department of Pathology and Laboratory Medicine, Boston, MA 02118 2019-03-27
1083174478 Kevin Stirling Student in an Organized Health Care Education/Training Program Shapiro Primary Care 725 Albany Street, Precepting Room, Boston, MA 02118 2019-03-21
1568922250 Katherine Wegman Student in an Organized Health Care Education/Training Program Boston Medical Center - Bcd Building, One Boston Medical Center Place, Boston, MA 02118 2019-03-20
1831659689 Anthony John Mell Student in an Organized Health Care Education/Training Program 1 Boston Medical Center Place Dept of Pediatrics, Menino Building, Dowling 3 South Resident Mailboxes, Boston, MA 02118 2019-03-20
1538628789 Pratima Agarwal Student in an Organized Health Care Education/Training Program 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 2019-03-18
1629537758 Tracy A Ledger Nurse Practitioner 830 Harrison Ave Moakley, 3rd Floor, Boston, MA 02118 2019-03-18
1467911701 Bijan Ghaffari Student in an Organized Health Care Education/Training Program 720 Harrison Ave # Dob505, Boston, MA 02118 2019-03-17
1467910695 Alice Ma Student in an Organized Health Care Education/Training Program Department of Radiology 820 Harrison Ave Fgh Building, 4th Floor, Boston, MA 02118 2019-03-06
1851857338 Ruth Madeline Mateo Nurse Practitioner 30 Northhampton Street, Boston, MA 02118 2019-02-20
1205311966 Jacqueline Husid Social Worker 1313washingtonst., Uniy 707, Boston, MA 02118 2018-09-28
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093109142 Benjamin Patrick Persons Internal Medicine 725 Albany St Ste 7b, Boston, MA 02118 2015-03-26
1295145811 Chio Yokose Internal Medicine 55 Fruit Street Bulfinch 165, Boston, MA 02114 2014-05-05
1255776860 Alexander Geevarghese Internal Medicine 800 Washington St # 599, Boston, MA 02111-1552 2013-05-08
1518132059 Barton L Wise Internal Medicine 720 Harrison Ave Ste 401, Boston, MA 02118-2371 2008-04-25
1962611301 Flavia Veera Castelino Internal Medicine 55 Fruit St Yawkey 2c, Rheumatology Unit, Mgh, Boston, MA 02114 2007-05-22
1609938869 Mark Robbins Internal Medicine 110 Francis St Ste 4b, Boston, MA 02215 2006-12-14
1245315852 Arturo Diaz Internal Medicine 110 Francis St. Suite 4b, Boston, MA 02215 2006-10-25
1699889246 Simon M Helfgott Internal Medicine Arthritis Center, Brigham and Womens Hospital Rheumatology Immunology And, Boston, MA 02115 2006-08-19
1508884024 George C Tsokos Internal Medicine 330 Brookline Ave # Cls-937, Beth Israel Deaconess Medical, Boston, MA 02215-5400 2006-07-17
1508893462 Patricia Ann Fraser Internal Medicine Brigham and Womens Hospital Div of Rheumatology Immunol, Boston, MA 02115 2006-06-27
Find all providers in BOSTON

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City BOSTON
Zip Code 02118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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