CARECONNECTMD MASSACHUSETTS PC
NPI 1215618798
General Practice in Charlestown, MA

Active since July 27, 2023
529 MAIN ST STE 200, CHARLESTOWN, MA 02129(888) 789-9585 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2025, Sep 10, 2024, Jul 27, 2023 (3 updates tracked since 2023).

About Careconnectmd Massachusetts Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARECONNECTMD MASSACHUSETTS PC (NPI 1215618798) is a healthcare organization registered as a general practice in Charlestown, Massachusetts and active in the NPI registry since July 2023. The organization lists Hyong Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1215618798
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCARECONNECTMD MASSACHUSETTS PC
Location Address529 MAIN ST STE 200Charlestown, MA 02129-1119
Mailing Address3090 Bristol St Ste 200Costa Mesa, CA 92626-3061
Organization SubpartNo
Authorized OfficialHyong KimOwner · (888) 789-9585
Enumeration DateJuly 27, 2023
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1215618798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
529 MAIN ST STE 200, Charlestown, MA 02129

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Careconnectmd Massachusetts Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Careconnectmd Massachusetts PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Geriatric Medicine
NPI 1629300256
1400 COMPUTER DR STE 301
Westborough, MA 01581
(617) 420-5316
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1205964947
3090 BRISTOL ST STE 200
Costa Mesa, CA 92626
(888) 789-9585
✔ PECOS✔ Accepts Medicare2,589 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Careconnectmd Massachusetts PC's NPI number?

The NPI number for Careconnectmd Massachusetts PC is 1215618798. It was assigned to this organization in the NPPES registry on July 27, 2023.

Where is Careconnectmd Massachusetts PC located?

Careconnectmd Massachusetts PC is located at 529 Main St Ste 200, Charlestown, MA 02129. The listed phone number is (888) 789-9585.

What is Careconnectmd Massachusetts PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Careconnectmd Massachusetts PC enrolled in Medicare?

Yes. Careconnectmd Massachusetts PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Careconnectmd Massachusetts PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Careconnectmd Massachusetts PC, in Family Practice and Geriatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Careconnectmd Massachusetts PC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.