KEMAR J BROWN M.D.
NPI 1790147395
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Boston, MA
NPI Status: Active since March 23, 2016
Contact Information
55 FRUIT ST
BOSTON, MA
ZIP 02114
Phone: (866) 644-8910
- Individual
- Male
- Years of Experience 10
- Internal Medicine
- Advanced Heart Failure and Transplant Ca...
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KEMAR BROWN
This page provides the complete NPI Profile along with additional information for Kemar Brown, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in advanced heart failure and transplant cardiology and more than 10 years of experience. He graduated from State University Of New York At Stony Brook, School Of Medicine in 2016. The healthcare provider is registered in the NPI registry with number 1790147395 assigned on March 2016. The practitioner's primary taxonomy code is 207RA0001X with license number 275028 (MA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1790147395
- Provider Name
- KEMAR J BROWN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST BOSTON, MA 02114
- Location Phone
- (866) 644-8910
- Mailing Address
- 55 FRUIT ST # 8-852E BOSTON, MA 02114
- Medical School Name
- STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2016
- Last Update Date
- 04-16-2024
- Code Navigator
An internist like Kemar Brown is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 55 Fruit St # 8-852E
Boston, MA 02114
(617) 643-3238
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Advanced Heart Failure and Transplant Cardiology
- Taxonomy Code
- 207RA0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 275028
- License State
- MA
- Taxonomy Description
- Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 275028 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kemar Brown is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kemar Brown is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5193074078
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240424001427
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kemar Brown is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 4 | 7 | 3 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 4 | 14 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 4 + 1 + 4 + 3 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1790147395 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ANDREW T CHAN M.D.
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(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
KALOYAN S TANEV MD
Psychiatry & Neurology
(Psychiatry)
55 FRUIT ST
WARREN 1220
BOSTON, MA
ZIP 02114
DR. DEBRA F WEINSTEIN MD
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BOSTON, MA
ZIP 02114
BRADEN KUO M.D.
Internal Medicine
(Gastroenterology)
55 FRUIT ST
BLAKE 4, GI UNIT. MGH
BOSTON, MA
ZIP 02114
DR. NANCY J GAGLIANO MD
Internal Medicine
55 FRUIT ST
4710B
BOSTON, MA
ZIP 02114
DR. DAVID F TORCHIANA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
BUL 119
BOSTON, MA
ZIP 02114
DAVID MICHAEL SHAHIAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST
MGH, BULFINCH 2
BOSTON, MA
ZIP 02114
DR. JAY JEFFREY SCHNITZER M.D., PH.D.
Surgery
55 FRUIT ST
PEDIATRIC SURGERY, WRN 11
BOSTON, MA
ZIP 02114
DR. THEODORE JOSEPH ONGARO MD
Urology
55 FRUIT ST
GRB 1102
BOSTON, MA
ZIP 02114
DR. WEI CHAO MD PHD
Anesthesiology
55 FRUIT ST
CLN 3
BOSTON, MA
ZIP 02114
DR. MAURICE ALBRIGHT MD
Orthopaedic Surgery
55 FRUIT ST
YAW 3E ORTHOPAEDIC ASSOCIATES
BOSTON, MA
ZIP 02114
DR. GREGORY YVES LAUWERS MD
Pathology
(Anatomic Pathology)
55 FRUIT ST
PATHOLOGY ASSOCIATES WRN 2
BOSTON, MA
ZIP 02114
DR. KENT BALANIS LEWANDROWSKI MD
Pathology
(Anatomic Pathology & Clinical Pathology)
55 FRUIT ST
GRB 5 PATHOLOGY ASSOCIATES
BOSTON, MA
ZIP 02114
DR. JEFFREY A GELFAND MD
Allergy & Immunology
55 FRUIT ST
S50-801 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. KATHLEEN BRIGID TRAINOR PSYD
Psychologist
55 FRUIT ST
YAW 6A MASSACHUSSETTS GENERAL HOSPITAL
BOSTON, MA
ZIP 02114
DR. BOYD TAYLOR THOMPSON MD
Internal Medicine
(Pulmonary Disease)
55 FRUIT ST
BOSTON, MA
ZIP 02114
DR. RAJESH TIM GANDHI MD
Internal Medicine
(Infectious Disease)
55 FRUIT ST
FND 8 INFECTIOUS DISEASE ASSOCIATES
BOSTON, MA
ZIP 02114
DR. SHIHAB AHMED MBBS
Anesthesiology
(Pain Medicine)
55 FRUIT ST
CLN 309 ANESTHESIA ASSOCIATES
BOSTON, MA
ZIP 02114
DR. MARIE B DEMAY MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
55 FRUIT ST
WEL 5
BOSTON, MA
ZIP 02114
DR. MICHELE TRUCKSIS MD PHD
Internal Medicine
55 FRUIT ST
INFECTIOUS DISEASE ASSOCIATES GRJ 504
BOSTON, MA
ZIP 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790147395, enumerated as an "individual" on March 23, 2016.
The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (866) 644-8910.
Internal Medicine with taxonomy code 207RA0001X and a focus in Advanced Heart Failure and Transplant Cardiology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
Kemar Brown is affiliated with: MASSACHUSETTS GENERAL HOSPITAL.
