Individual provider Active NPI

Kevin Pineault, MD

  • Urology Physician
  • Flushing, NY
National Provider Identifier
1194232967
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
338258 Issued in NY
Practice address
3530 Francis Lewis Blvd
Flushing, NY 11358-1931
Phone
(302) 507-0577
NPI assigned
Jan 3, 2018
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 338258 NY Primary

Addresses

Primary practice location

3530 Francis Lewis Blvd
Flushing, NY 11358-1931

Mailing address

2602 Ditmars Blvd # 3
Astoria, NY 11105-3123
Phone (302) 507-0577

Other practice location 1

2602 Ditmars Blvd # 3
Astoria, NY 11105-3123
Phone (302) 507-0577

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
I20250804000623 NY Practitioner - Urology 0941718720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708

13247 Metropolitan Ave
Richmond Hill, NY 11418-1949
Phone (718) 301-0720

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

3530 Francis Lewis Blvd
Suite 201
Flushing, NY 11358-1959
Phone (718) 539-5100

89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200

8900 Van Wyck Expressway
Jamaica, NY 11418-2832

8900 Van Wyck Expressway
4 Floor C Building
Jamaica, NY 11418-2821
Phone (718) 206-6894

8900 Van Wyck Expy
Jamaica, NY 11418-2832

8906 135TH St
Jamaica, NY 11418-2821

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 30, 2025 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jun 30, 2025 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
TJH Medical Services, P.C. Urology Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients

Locations

3530 Francis Lewis Blvd
Ste 201
Flushing, NY 11358
Phone (718) 539-5100

1 Hollow Ln
Ste 206
New Hyde Park, NY 11042
Phone (516) 931-0041

145 E 32nd St
Fl 10
New York, NY 10016
Phone (212) 889-6225

27005 76th Ave
North New Hyde Pk, NY 11040

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kevinpineault@imppllc.allscriptsdirect.net

Organizations & group practices 6

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 5

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1194232967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 DITMARS BLVD # 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053123",
            "telephone_number": "302-507-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FRANCIS LEWIS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581931",
            "telephone_number": "302-507-0577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Ditmars Blvd # 3",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111053123",
            "country_code": "US",
            "telephone_number": "302-507-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEAULT",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "338258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.