NPIMap

Individual provider Active NPI

Kevin Thomas Harley, M.D.

  • Nephrology Physician
  • Orange, CA
National Provider Identifier
1194924100
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01010263559 Issued in VA
Practice address
101 The City Dr S
City Tower, Suite 400
Orange, CA 92868-3201
Phone
(714) 456-5142
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A98051 CA
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 01010263559 VA Primary

Addresses

Primary practice location

101 The City Dr S
City Tower, Suite 400
Orange, CA 92868-3201

Mailing address

13135 Lee Jackson Memorial Hwy
Ste 135
Fairfax, VA 22033-1907
Phone (703) 961-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180727001383 VA Practitioner - Nephrology 6800969825 Reassigns benefits to 1 organization
I20180727002224 DC Practitioner - Nephrology 6800969825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Virginia IncGroup PAC ID 4587566138, 15 clinicians

Practice addresses (Care Compare)

13135 Lee Jackson Hwy
Suite 135
Fairfax, VA 22033-1907
Phone (703) 476-1740

8405 Dorsey Cir
Suite 102
Manassas, VA 20110-8304
Phone (703) 961-0488

Hospital & facility affiliations

  • DaVita Fairfax Dialysis Center Dialysis facility, Fairfax, VA, CCN 492591
  • DaVita CDC-Springfield Dialysis facility, Springfield, VA, CCN 492535
  • DaVita Reston Dialysis Center Dialysis facility, Herndon, VA, CCN 492625
  • DaVita Tyson's Corner Dialysis Dialysis facility, Vienna, VA, CCN 492580
  • DaVita Vienna Dialysis Dialysis facility, Vienna, VA, CCN 492735
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98051CAMDNephrology Physician
01010263559VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Single Specialty Current Accepting new patients
Nephrology Associates of Northern Virginia, Inc Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Ste 400
Orange, CA 92868
Phone (714) 456-5691

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

530 Huntmar Park Dr
Herndon, VA 20170

8405 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (703) 208-0820

46396 Benedict Dr
Sterling, VA 20164

8100 Boone Blvd
Ste 300
Vienna, VA 22182
Phone (301) 652-4828

Interoperability endpoints

  • Direct secure messaging: kevinharley@nanv.allscriptsdirect.net
  • Direct secure messaging: kevin.harley@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 12

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1194924100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "STE 135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "address_2": "CITY TOWER, SUITE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A98051",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "01010263559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.