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

Kenneth M Grundfast, MD

Individual provider Otolaryngology Physician · NPI 1336101054

Kenneth M Grundfast, MD is an Otolaryngology in Boston, Massachusetts. Graduated from State University of Ny Upstate Medical University in 1969, 57 years ago. Practices with New England Ear Nose and Throat LLC, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in District of Columbia and Massachusetts.

Years since qualifying
57
Trained at
State University of Ny Upstate Medical University
Licensed in
DC, MA
In the registry since
2006
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

820 Harrison Ave Ste 4005
Boston, MA 02118-2905
Phone: (617) 638-7934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2300 M St Nw, Washington, DC 20037-1434 — (202) 741-3574
  • 243 Charles St, Boston, MA 02114-3002 — (617) 573-5526
  • 800 Huntington Ave, Boston, MA 02115-6303 — (617) 936-6160

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 160725 (MA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MD6119 (DC)

Record details

NPI number1336101054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1969 (57 years in practice)
Group practice New England Ear Nose And Throat Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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