Kimia Kordestani, PA-C - Medicare Physician Assistant in Boston, MA

  1. Home
  2. Physician Assistant
  3. MA
  4. Boston
Kimia Kordestani, PA-C is a medicare enrolled "Physician Assistant" in Boston, Massachusetts. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carbon Health Medical Group Of Massachusetts Pc and her current practice location is 55 Fruit Street, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 238-3838.

Kimia Kordestani is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083163901.

Contact Information

Kimia Kordestani, PA-C
55 Fruit Street,
Boston, MA 02114
(857) 238-3838
Not Available

Map and Direction




Provider's Profile

Full NameKimia Kordestani
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location55 Fruit Street, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimia Kordestani graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1083163901
  • Provider Enumeration Date: 10/04/2016
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648557173
  • Enrollment ID: I20170510000518

Medical Identifiers

Medical identifiers for Kimia Kordestani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083163901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA5923 (Massachusetts)Secondary
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carbon Health Medical Group Of Massachusetts Pc397194360630

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimia Kordestani allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameDrx UC Saugus PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871865709
PECOS PAC ID: 7214187863
Enrollment ID: O20121017000496
Entity NameDrx UC Watertown PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164772299
PECOS PAC ID: 3476790163
Enrollment ID: O20130517000152
Entity NameDrx Malden Professionals PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215379789
PECOS PAC ID: 4880818756
Enrollment ID: O20140616001064
Entity NameMass General Brigham Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720486830
PECOS PAC ID: 9436470119
Enrollment ID: O20150605002309
Entity NameCarbon Health Medical Group of Florida PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881261303
PECOS PAC ID: 3274947304
Enrollment ID: O20211025002861
Entity NameCarbon Health Primary Care of Florida PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912662719
PECOS PAC ID: 6204226236
Enrollment ID: O20211207001617
Entity NameConvenientmd - Ffs UC LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790528628
PECOS PAC ID: 5193186492
Enrollment ID: O20230921002173
Entity NameCarbon Health Medical Group of Massachusetts PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528836897
PECOS PAC ID: 3971943606
Enrollment ID: O20240429003006

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimia Kordestani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimia Kordestani, PA-C
55 Fruit St,
Boston, MA 02114-2621

Ph: Not Available		Kimia Kordestani, PA-C
55 Fruit Street,
Boston, MA 02114

Ph: (857) 238-3838

Reviews and Comments


Physician Assistant Nurses in Boston, MA

Cara L Richards,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    Fax: 212-590-5581
Shawn Maguire, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 450 Brookline Ave, Boston, MA 02215
Phone: 617-582-8487    
Mr. Timothy Michael Britt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 725 Albany Street, Shapiro 4, Suite B, Boston, MA 02118
Phone: 617-638-5633    Fax: 617-414-5226
Ms. Amy Elizabeth Cotton, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 75 Francis St, Boston, MA 02115
Phone: 617-732-5500    
Bridget N. Babich-wydysh, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Boston Medical Center Place, C500, Boston, MA 02118
Phone: 617-638-8609    Fax: 617-638-8607
Mark Branton, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 55 Fruit St, Boston, MA 02114
Phone: 617-726-7400    
Sara Elizabeth Grosslein, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit Street, White 1, Boston, MA 02114
Phone: 617-724-4100    Fax: 617-726-7415

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.