Look up the most recent NPI and PECOS records

Kenneth Mcintosh

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Kenneth Mcintosh does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1881795623
Provider Type
Individual
Full Name
Mcintosh, Kenneth
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/26/2006
Last Updated
8/14/2007

Contact Information

Practice Location

300 Longwood Ave, Boston, MA 02115-5724

(617) 355-6832

(617) 730-0911

Mailing Location

300 Longwood Ave, Division Of Infectious Diseases, Boston, MA 02115-5724

(617) 355-6832

(617) 730-0911

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 45133 Massachusetts

Provider Identifiers

ID	Description	Issuer
ID 2094030	Description Medicaid	Issuer Unlisted Massachusetts

Kenneth Mcintosh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Pappa, Theodora

Behforouz, Heidi Louise

Dalal, Anuj K

Holmes, Michelle D

Reinherz, Ellis L

Dudley, Jessica Cohen

Hardenstine, Rachel

Rajagopalan, Harith

Stone, Valerie Ellen

Lee, David Fernando