Active NPI
Kevin Edward Todd Jr., MD
- Pediatric Hematology & Oncology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 0101271650
- Practice address
- 3333 Burnet Ave # 5012
Cincinnati, OH 45229 - Phone
- (757) 668-9763
- Fax
- (757) 668-9766
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | 0101271650 | VA | Primary |
Addresses
Primary practice location
3333 Burnet Ave # 5012
Cincinnati, OH 45229
Mailing address
1701 Dalwood Mews
Virginia Beach, VA 23455-4369
Phone (757) 763-8413
Other practice location 1
601 Childrens Ln
Norfolk, VA 23507-1971
Phone (757) 668-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Eastern Virginia Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Childre'S LN
Norfolk, VA 23507-1910
Phone (757) 668-7007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101271650 | VA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Current | Accepting new patients |
Locations
11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1073909958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 DALWOOD MEWS",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234554369",
"telephone_number": "757-763-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE # 5012",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "757-668-9763",
"fax_number": "757-668-9766"
}
],
"practiceLocations": [
{
"address_1": "601 Childrens Ln",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071971",
"country_code": "US",
"telephone_number": "757-668-2233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "KEVIN",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "VA",
"license": "0101271650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.