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Ketma Pericles

Licensed Practical Nurse • Cambridge, MA

Active NPI 1760119648 Individual Practitioner Female Practitioner
Practice location in NPPES

1493 Cambridge St
Cambridge, MA 021391047

Call 7813976546 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1493 Cambridge St

Cambridge, MA 021391047

Telephone 7813976546
Organization at the Same NPPES Address or Phone
Cambridge Public Health Commission Facility NPI 1487603585

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cambridge and Massachusetts

61 active clinicians are listed under Licensed Practical Nurse with a practice address in Cambridge, MA (1,529 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cambridge

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-02
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MA LN69424

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Khaleel Abdul-Jabbaar , PT, DPT

Physical Therapist - Orthopedic

NPI 1780295717

Physical Therapist, Doctor of Physical Therapy

Thomas Adams

Psychiatry & Neurology - Psychiatry

NPI 1538691142
Dr. Madeline Albert , MD

Psychiatry & Neurology - Psychiatry

NPI 1326121666

Doctor of Medicine (M.D.)

Dr. Mustafa Al Gburi , MD

Psychiatry & Neurology - Neurology

NPI 1245890912

Doctor of Medicine (M.D.)

Dr. Nabil Ali , MD

Psychiatry & Neurology - Psychiatry

NPI 1174672984

Doctor of Medicine (M.D.)

Dr. Stephen Allegra , MD

Emergency Medicine

NPI 1710474739

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated August 02, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2022 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1760119648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2022
Last Update: August 02, 2022
Sole Proprietor: Yes

Mailing Address

36 Tea Party Way

Malden, MA 021481980

Phone: 7819221097

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.