Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clinton Kazuo Pong, MD

Individual provider Family Medicine Physician · NPI 1376854307

Dr. Clinton Kazuo Pong, MD is a Family Practice in Boston, Massachusetts. Graduated from University of Hawaii John A. Burns School of Medicine in 2010, 16 years ago. Practices with Mass General Brigham Community Physicians Inc, a 422-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
MA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 Staniford St
Boston, MA 02114-2517
Phone: (617) 903-5000
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 195 Canal St, Malden, MA 02148-6701 — (781) 338-0500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 254269 (MA)

Record details

NPI number1376854307
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2010
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Mass General Brigham Community Physicians Inc — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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