1. Home
  2. Directory
  3. Massachusetts
  4. Waltham
  5. Internal Medicine
  6. NPI Profile

SRK MD, LLC
NPI 1578083119
Internal Medicine in Waltham, MA

Active since June 25, 2017
210 BEAR HILL RD STE 304, WALTHAM, MA 02451(781) 684-0600(781) 684-0601 Get Directions Write a Review

NPPES record last updated: June 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Srk Md, Llc NPPES

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

SRK MD, LLC (NPI 1578083119) is a healthcare organization registered as an internal medicine in Waltham, Massachusetts and active in the NPI registry since June 2017. The organization lists Steven R. Kanner, Owner, as its authorized official.

NPPES Registry Identity

NPI1578083119
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSRK MD, LLC
Location Address210 BEAR HILL RD STE 304Waltham, MA 02451-1025
Mailing Address12 Bypass RdLincoln, MA 01773-1202 · (781) 259-0222 · Fax (781) 259-4050
Phone(781) 684-0600
Fax(781) 684-0601
Organization SubpartYesParent: Steven R. Kanner, Md, Llc
Authorized OfficialSteven R. KannerOwner · (781) 684-0600
Enumeration DateJune 25, 2017
✔ NPI 1578083119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 209939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
210 BEAR HILL RD STE 304, Waltham, MA 02451
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

DHMGT LLC
Internal Medicine
210 BEAR HILL RD STE 304
WALTHAM, MA 02451
Middlesex County (781) 684-0600
DISCOVER HEALTH MEDICAL GROUP THREE, INC.
Internal Medicine
210 BEAR HILL RD STE 304
WALTHAM, MA 02451
Middlesex County (781) 684-0600

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 Srk MD, LLC's NPI number?

The NPI number for Srk MD, LLC is 1578083119. It was assigned to this organization in the NPPES registry on June 25, 2017.

Where is Srk MD, LLC located?

Srk MD, LLC is located at 210 Bear Hill Rd Ste 304, Waltham, MA 02451. The listed phone number is (781) 684-0600.

What is Srk MD, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Srk MD, LLC was last updated on June 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.