Organization Active NPI

Patrick F. Kilhenny, MD, PC

  • Neurology Physician
  • Virginia Beach, VA
National Provider Identifier
1215110952
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101045785 Issued in VA
Legal business name
PATRICK F. KILHENNY, MD, PC
Practice address
1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone
(757) 425-5550
Fax
(757) 412-2606
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Authorized official

Name
Rose Kavanagh
Title
Billing Director
Phone
(757) 481-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 0101045785 VA Primary

Addresses

Primary practice location

1201 First Colonial Rd
Virginia Beach, VA 23454-2217

Mailing address

1012 First Colonial Road
Virginia Beach, VA 23454-3270
Phone (757) 481-3800

Other identifiers 1

IdentifierTypeStateIssuer
7116322MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000723 VA Part B Supplier - Clinic/Group Practice 2163682824 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1012 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 227-4323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499212800000",
    "number": "1215110952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 FIRST COLONIAL ROAD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543270",
            "telephone_number": "757-481-3800",
            "fax_number": "757-481-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542217",
            "telephone_number": "757-425-5550",
            "fax_number": "757-412-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK F. KILHENNY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2017-07-05",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "757-481-3800"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101045785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116322",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.