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

Individual provider Internal Medicine Physician · NPI 1972505402

Dr. Mira Kautzky, MD is an Internal Medicine in Boston, Massachusetts. Qualified in 1997, 29 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
29
Licensed in
MA, PA
In the registry since
2005
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

15 Parkman St Ste 645 Wacc
Boston, MA 02114
Phone: (617) 724-0646
Fax: (617) 724-0656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 242083 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD-070882-L (PA)

Record details

NPI number1972505402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2005
Last updated in NPPESJuly 19, 2010

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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