KARDEEM S JOSEPH MD
NPI 1386346278
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Kardeem Joseph's NPI number?

The NPI number for Kardeem Joseph is 1386346278. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Kardeem Joseph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kardeem Joseph was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 22, 2023PECOS Enrolled

11 MELNEA CASS BLVD, BOSTON, MA 02119(617) 414-2080 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2023, Mar 25, 2023 (2 updates tracked since 2023).

On this page

About Kardeem S Joseph Md NPPES

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

KARDEEM S JOSEPH MD (NPI 1386346278) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386346278

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKARDEEM S JOSEPHCredential: MD

Location Address11 MELNEA CASS BLVDBoston, MA 02119-4401

Mailing Address720 Harrison Ave Ste 914Boston, MA 02118-2334

Phone(617) 414-2080

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1386346278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11 MELNEA CASS BLVD, Boston, MA 02119

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kardeem S Joseph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE A GERGEN BARNETT MD

Family Medicine