KALA MARIE FRYE BOURQUE MD
NPI 1447719596
Emergency Medicine - Pediatric Emergency Medicine in Springfield, MA

Q: What is Kala Frye Bourque's NPI number?

The NPI number for Kala Frye Bourque is 1447719596. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Kala Frye Bourque's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Kala Frye Bourque was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2019PECOS Enrolled

759 CHESTNUT ST # S6538, SPRINGFIELD, MA 01107(413) 794-3233(413) 510-3382 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Aug 14, 2026, Jun 5, 2025 and 5 more (8 updates tracked since 2019).

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About Kala Marie Frye Bourque Md NPPES

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

KALA MARIE FRYE BOURQUE MD (NPI 1447719596) is an individual pediatric emergency medicine provider in Springfield, Massachusetts, licensed in Massachusetts (1022677) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447719596

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameKALA MARIE FRYE BOURQUECredential: MD

Location Address759 CHESTNUT ST # S6538Springfield, MA 01107-1619

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700 · Fax (413) 510-3382

Phone(413) 794-3233

Fax(413) 510-3382

Sole ProprietorYes

Enumeration DateMarch 18, 2019

Last NPPES UpdateAugust 17, 20268 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1447719596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

Licenses✔ Licensed in MA · 1022677✔ Licensed in DC · MD210002004

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

759 CHESTNUT ST # S6538, Springfield, MA 01107

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Secondary Practice Locations 2

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (603) 828-7248

Location 2111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kala Marie Frye Bourque 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.

Medicare Billing Reassignments

Medicare enrollment records show Kala Frye Bourque reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baystate Medical Practices, Inc

Same address

Emergency Medical Services

759 CHESTNUT ST
Springfield, MA 01199

Reassigned Medicare billing, Massachusetts enrollment
1,537 clinicians in this Medicare group

NPI 1548205909 (413) 794-5700

Children's Hospital

320 mi

Pediatrics

111 MICHIGAN AVE NW
Washington, DC 20010

Reassigned Medicare billing, District of Columbia enrollment
1,417 clinicians in this Medicare group

NPI 1780800128 (202) 476-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARISA ROBYN SIEGEL MD

Emergency Medicine