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

Individual provider Surgery Physician · NPI 1164413613

Dr. Kenneth Kenji Tanabe, MD is a Surgical Oncology in Boston, Massachusetts. Qualified in 1985, 41 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
41
Licensed in
MA
In the registry since
2005
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

55 Fruit St Yaw 7B
Boston, MA 02114-2621
Phone: (617) 724-3868
Fax: (617) 724-3895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 78104 (MA)

Record details

NPI number1164413613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESNovember 6, 2012
Mailing addressPo Box 9142, Charlestown, MA 02129-9142

Medicare enrollment

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

Medicare specialtySURGICAL ONCOLOGY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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