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DR. MIRA KAUTZKY M.D.
NPI 1972505402
Internal Medicine in Boston, MA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
15 PARKMAN ST, SUITE 645, WACC, BOSTON, MA 02114(617) 724-0646(617) 724-0656 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mira Kautzky M.d. NPPES

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

DR. MIRA KAUTZKY M.D. (NPI 1972505402) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (242083) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1972505402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIRA KAUTZKYCredential: M.D.
Location Address15 PARKMAN ST, SUITE 645, WACCBoston, MA 02114
Mailing Address15 Parkman St, Suite 645, WaccBoston, MA 02114 · (617) 724-0646 · Fax (617) 724-0656
Phone(617) 724-0646
Fax(617) 724-0656
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 19, 2010
✔ NPI 1972505402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 242083✔ Licensed in PA · MD-070882-L
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.
15 PARKMAN ST, Boston, MA 02114
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Other Identifiers 2

Medicare UPINH20554
Medicare UPINH20554PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Dr. Mira Kautzky M.d. 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.

PECOS PAC ID42404782
PECOS Enrollment IDI20101027000452, I20241101001015
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

4

Medicare enrollment records show Mira Kautzky reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The General Hospital Corporation
Same address
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
Same address
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
Mass General Brigham Medical Group, Inc.
30 mi
Internal Medicine
30 TUSCAN BOULEVARD
Salem, NH 03079
  • Reassigned Medicare billing, Massachusetts enrollment
  • 181 clinicians in this Medicare group
NPI 1083360200 (857) 282-7014
Rosebud Indian Health Service
1,508 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services15 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD
OwnershipGovernment - Federal
CMS Certification Number430084
Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$37.26 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers20 claims20 services$51.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$17.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers17 claims98 services$2.11 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$31.43 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers26 claims26 services$208.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. PATRICIA NOREEN FINNERAN NP-C
Nurse Practitioner (Adult Health)
15 PARKMAN ST, WAC 440
BOSTON, MA 02114
Suffolk County (617) 643-4709
MISS BRYANA CAREY PT, DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 643-4373
DR. WILLIAM ELLIS FALK MD
Psychiatry & Neurology (Geriatric Psychiatry)
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114
Suffolk County (617) 726-5600
MRS. LILIAN DAYAN-CIMADORO PT,DPT,MS,NCS,CLT-LA
Physical Therapist (Neurology)
15 PARKMAN ST, ROOM 134
BOSTON, MA 02114
Suffolk County (617) 724-7484
MS. ANGELA MARY HAUBER DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 726-2962
JACKIE A MULGREW PT
Physical Therapist
15 PARKMAN ST, WACC 134
BOSTON, MA 02114
Suffolk County (617) 726-7487
MS. MARY S KNAB P.T.
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 724-6398
DR. JAMES ELTON GROVES MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 726-2714

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 Mira Kautzky's NPI number?

The NPI number for Mira Kautzky is 1972505402. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Mira Kautzky located?

Mira Kautzky practices at 15 Parkman St Suite 645, Wacc, Boston, MA 02114. The listed phone number is (617) 724-0646.

What is Mira Kautzky's specialty?

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

Is Mira Kautzky enrolled in Medicare?

Yes. Mira Kautzky 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.

Which organizations bill Medicare for Mira Kautzky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Kautzky reassigns Medicare benefits to 4 organizations: The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA), Mass General Brigham Medical Group, Inc. (Salem, NH) and Rosebud Indian Health Service (Rosebud, SD). Each 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 Mira Kautzky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Kautzky accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Mira Kautzky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mira Kautzky affiliated with any hospitals?

According to CMS data, Mira Kautzky is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Faulkner Hospital-Brigham And Women's and Phs Indian Hospital At Rosebud.

When was this NPI record last updated?

The NPPES record for Mira Kautzky was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.