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KYOKO OKAMURA MD PC
NPI 1396197091
Obstetrics & Gynecology in Brookline, MA

Active since July 06, 2016CLIA 22D2091130 · Waiver
1180 BEACON ST, SUITE LLA, BROOKLINE, MA 02446(617) 232-8888(617) 232-2055 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyoko Okamura Md Pc NPPES

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

KYOKO OKAMURA MD PC (NPI 1396197091) is a healthcare organization registered as an obstetrics & gynecology in Brookline, Massachusetts and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Kyoko Okamura, President, as its authorized official.

NPPES Registry Identity

NPI1396197091
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKYOKO OKAMURA MD PC
Location Address1180 BEACON ST, SUITE LLABrookline, MA 02446-3885
Mailing Address1180 Beacon St, Suite LlaBrookline, MA 02446-3885
Phone(617) 232-8888
Fax(617) 232-2055
Organization SubpartNo
Authorized OfficialKyoko OkamuraPresident · (617) 232-8888
Enumeration DateJuly 6, 2016
✔ NPI 1396197091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 244234
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1180 BEACON ST, Brookline, MA 02446
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Other Identifiers 3

Medicare PIN0019453MA
OtherAA191261MA · Harvard Pilgrim
Medicaid110088061AMA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Kyoko Okamura Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kyoko Okamura MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyoko Okamura, MD, MPH
Obstetrics/Gynecology
NPI 1922255371
1180 BEACON ST SUITE A
Brookline, MA 02446
(617) 232-8888
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2091130

Kyoko Okamura MD Mph · Brookline, MA
Active · expires Feb 5, 2027
CLIA Number22D2091130
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Kyoko Okamura
Laboratory Phone(617) 232-8888
Laboratory LocationKyoko Okamura MD Mph1180 Beacon St Ste A, Brookline, MA 02446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kyoko Okamura MD PC's NPI number?

The NPI number for Kyoko Okamura MD PC is 1396197091. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Kyoko Okamura MD PC located?

Kyoko Okamura MD PC is located at 1180 Beacon St Suite Lla, Brookline, MA 02446. The listed phone number is (617) 232-8888.

What is Kyoko Okamura MD PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kyoko Okamura MD PC enrolled in Medicare?

Yes. Kyoko Okamura MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kyoko Okamura MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Kyoko Okamura MD PC. 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.

Does Kyoko Okamura MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2091130) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kyoko Okamura MD PC was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.