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

Penelope Kagan

Individual provider Internal Medicine Physician · NPI 1194341008

Penelope Kagan is an Internal Medicine in Brockton, Massachusetts. Qualified in 2011, 15 years ago. Practices with Revere Medical of Massachusetts PC, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

1 Pearl St Ste 2100
Brockton, MA 02301-2868
Phone: (508) 897-6040
Fax: (508) 897-6045
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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 1015538 (MA)

Record details

NPI number1194341008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address98 Bolton St, Boston, MA 02127-1106

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Revere Medical Of Massachusetts Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Brockton