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

Individual provider Physician Assistant · NPI 1083163901

Kimia Kordestani, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Carbon Health Medical Group of Massachusetts PC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114
Phone: (857) 238-3838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 983 Boston-Providence Turnkpike, Dedham, MA 02026 — (781) 819-6400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA5923 (MA)

Record details

NPI number1083163901
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carbon Health Medical Group Of Massachusetts Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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