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

Kaoutar Bouaitah

Individual provider Physician Assistant · NPI 1598615320

Kaoutar Bouaitah is a Physician Assistant in Worcester, Massachusetts. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2026

Practice location Address checks out

119 Belmont St
Worcester, MA 01605-2903
Phone: (508) 334-8515
Fax: (508) 334-6490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-8515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102489 (MA)

Record details

NPI number1598615320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Worcester