NPIMap

Individual provider Active NPI

Timothy Michael Kitchen, MD

  • Family Medicine Physician
  • Westfield, NY
National Provider Identifier
1003884289
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188164 Issued in NY
Practice address
138 E Main St
Westfield, NY 14787-1121
Phone
(716) 326-4678
Fax
(716) 326-4914
NPI assigned
Mar 14, 2006
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 188164 NY Primary

Addresses

Primary practice location

138 E Main St
Westfield, NY 14787-1121

Mailing address

138 E Main St
PO Box 10
Westfield, NY 14787-1121
Phone (716) 326-4678

Other identifiers 1

IdentifierTypeStateIssuer
01387062MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001019 NY Practitioner - Family Practice 1355369422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Family Physicians PCGroup PAC ID 3375527187, 14 clinicians

Practice addresses (Care Compare)

138 E Main St
Westfield, NY 14787-1121
Phone (716) 326-4678

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth17
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westfield Family Physicians,PC CurrentSince Oct 1, 1993 Accepting new patients
Westfield Familyphysicians Past Accepting new patients
Westfield Family Physicians Past Accepting new patients
Westfield Memorial Hospital, Inc. Past Accepting new patients

Locations

138 E Main St
Westfield, NY 14787
Phone (716) 326-4678

Interoperability endpoints

  • Direct secure messaging: drkitchen@wfp.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1003884289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E MAIN ST",
            "address_2": "PO BOX 10",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871121",
            "telephone_number": "716-326-4678",
            "fax_number": "716-326-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871121",
            "telephone_number": "716-326-4678",
            "fax_number": "716-326-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01387062",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NY

Sources for this page

Verify at the official NPI Registry.