Individual provider Active NPI

Kevin Francis McCarthy, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1063400679
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0064598 Issued in MD
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Oct 7, 2005
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0064598 MD Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, TX, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080102000265 MD Practitioner - Diagnostic Radiology 5597845602 Reassigns benefits to 1 organization
I20180702003159 PA Practitioner - Diagnostic Radiology 5597845602 Reassigns benefits to 1 organization
I20200923002321 TX Practitioner - Diagnostic Radiology 5597845602 Reassigns benefits to 8 organizations
I20240712002232 NC Practitioner - Diagnostic Radiology 5597845602 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064598MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remlo Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 7, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2022 Accepting new patients
Warren General Hospital CurrentSince Dec 1, 2024 Accepting new patients
Fulton Diagnostic Radiology LLC Diagnostic Radiology CurrentSince May 31, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince May 1, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
United Memorial Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Nov 7, 2022 Accepting new patients
Warren General Hospital Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Sep 16, 2020 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Glendive Medical Center, Inc Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations (25 of 35)

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 527-2000

322 E Antietam St
Ste 106
Hagerstown, MD 21740

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

7121 Spid Dr
Corpus Christi, TX 78412
Phone (361) 696-6200

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1505 E Winding Way Dr
Ste 100
Friendswood, TX 77546
Phone (281) 993-1936

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2724 Yale St
Houston, TX 77008
Phone (713) 636-9841

4219 Richmond Ave
Houston, TX 77027
Phone (713) 487-0001

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

7789 Southwest Fwy
Houston, TX 77074
Phone (713) 448-8048

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

9729 FM 1960 Bypass Rd W
Humble, TX 77338
Phone (832) 644-8368

21222 Kingsland Blvd
Katy, TX 77450
Phone (281) 344-1715

21720 Kingsland Blvd
Katy, TX 77450
Phone (281) 579-5555

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

23920 Katy Fwy
Ste 120
Katy, TX 77494
Phone (281) 644-7180

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1063400679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KEVIN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0064598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.