Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathryn L. Fantasia, MD

Individual provider Internal Medicine Physician · NPI 1023453628

Dr. Kathryn L. Fantasia, MD is an Endocrinology in Boston, Massachusetts. Qualified in 2013, 13 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
Specialties on file
2
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

732 Harrison Ave Fl 2 Preston Bldg
Boston, MA 02118-2309
Phone: (617) 638-7470
Fax: (617) 638-7449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 265826 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 265826 (MA)

Record details

NPI number1023453628
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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