MO KEOVONGSA P.A.
NPI 1710157300
Physician Assistant in Burlington, MA
About Mo Keovongsa P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MO KEOVONGSA P.A. (NPI 1710157300) is an individual physician assistant in Burlington, Massachusetts, licensed in Massachusetts (PA2311) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mo Keovongsa P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Hospital Corporation
Acute Care Hospitals · Beverly, MAEmerson Hospital -
Acute Care Hospitals · W Concord, MABeth Israel Deaconess Medical Center
Acute Care Hospitals · Boston, MAWinchester Hospital
Acute Care Hospitals · Winchester, MALahey Hospital & Medical Center, Burlington
Acute Care Hospitals · Burlington, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BURLINGTON, MA 01805
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 Mo Keovongsa's NPI number?
The NPI number for Mo Keovongsa is 1710157300. It was assigned to this individual provider in the NPPES registry on March 10, 2008.
Where is Mo Keovongsa located?
Mo Keovongsa practices at 41 Mall Rd Lahey Clinic, Inc., Burlington, MA 01805. The listed phone number is (781) 744-7000.
What is Mo Keovongsa's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mo Keovongsa enrolled in Medicare?
Yes. Mo Keovongsa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Mo Keovongsa affiliated with any hospitals?
According to CMS data, Mo Keovongsa is affiliated with Northeast Hospital Corporation, Emerson Hospital -, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.
When was this NPI record last updated?
The NPPES record for Mo Keovongsa was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mo Keovongsa, P.A. · NPI 1710157300
Physician Assistant physician in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since March 10, 2008.
## Identity
- **NPI:** 1710157300 (Entity type: Individual)
- **Enumerated:** March 10, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA2311 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 MALL RD, LAHEY CLINIC, INC., Burlington, MA 01805-0001
- **Phone:** (781) 744-7000 · **Fax:** (781) 744-5352
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710157300) · Data from the CMS NPPES public registry.