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

Robert C McKenna, PA

Individual provider Physician Assistant · NPI 1912992876

Robert C McKenna, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2001, 25 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
25
Licensed in
MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-9338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 S Huntington Ave, Boston, MA 02130-4817 — (617) 667-2140

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1468 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 1468 (MA)

Record details

NPI number1912992876
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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