Individual provider Active NPI

Kimberly Owens, DO

  • Body Imaging Physician
  • Halfmoon, NY
National Provider Identifier
1184038069
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
303613 Issued in NY
Practice address
1783 Route 9 Ste 104
Halfmoon, NY 12065-2465
Phone
(518) 836-2428
Fax
(518) 836-2413
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 303613 NY Primary

Addresses

Primary practice location

1783 Route 9 Ste 104
Halfmoon, NY 12065-2465

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200520000578 NY Practitioner - Diagnostic Radiology 9931326881 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians

Practice addresses (Care Compare)

1783 Route 9
Suite 104
Halfmoon, NY 12065-2465
Phone (518) 836-2428

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303613NYMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College Body Imaging CurrentSince Jul 13, 2020 Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Community Care Physicians, PLLC Internal Medicine CurrentSince Jul 13, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 13, 2020 Accepting new patients
Ellis Hospital CurrentSince Jul 13, 2020 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP CurrentSince Dec 14, 2025 Accepting new patients
Bowes Imaging Center, LLC CurrentSince Apr 24, 2026 Accepting new patients
Gateway Diagnostic Imaging LLC CurrentSince Jan 15, 2026 Accepting new patients
Albany Medical Center Hospital Body Imaging CurrentSince Aug 21, 2020 Accepting new patients
Bowes Imaging Center LLC. CurrentSince Apr 24, 2026 Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jan 15, 2026 Accepting new patients

Locations (25 of 35)

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

1783 Route 9
Ste 104
Halfmoon, NY 12065
Phone (518) 836-2428

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001

711 Troy Schenectady Rd
Ste 201
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

4 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 428-1600

Interoperability endpoints

  • Direct secure messaging: kowens33966@albanymed.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1184038069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9 STE 104",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652465",
            "telephone_number": "518-836-2428",
            "fax_number": "518-836-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KIMBERLY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "303613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.