Active NPI
Kevin T Fogarty, M.D.
- Diagnostic Radiology Physician
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD044115L
- Practice address
- 300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001 - Phone
- (484) 884-4500
- Fax
- (570) 800-7529
- NPI assigned
- Nov 4, 2005
- Last updated
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD044115L | PA | Primary |
Addresses
Primary practice location
300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Mailing address
5325 Northgate Dr
Suite 100
Bethlehem, PA 18017-9411
Phone (610) 691-8931
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8080
Other practice location 2
5325 Northgate Dr
Suite 100
Bethlehem, PA 18017-9411
Phone (610) 691-8931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1109 Grosser Rd
LVPG Emergency Medicine Gilbertsville
Gilbertsville, PA 19525-9228
Phone (484) 498-6060
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging of Lehigh Valley PC | Diagnostic Radiology | Current | Accepting new patients |
| Lehigh Valley Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lehigh Valley Hospital | Past | Accepting new patients | |
| Urology Specialists of the Lehigh Valley PC | Past | Accepting new patients |
Locations (25 of 49)
1101 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 240-4073
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400
1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691
1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-4237
1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691
1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690
1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230
1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022
1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600
1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550
1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388
2100 Mack Blvd
Fl 4
Allentown, PA 18103
4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903
6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181
1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032
1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249
2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460
2775 Schoenersville Rd
Bethlehem, PA 18017
5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100
120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101
1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900
200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Allentown, PA
- NPI 1134178023
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Diagnostic Radiology Physician
- Easton, PA
- NPI 1194251645
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
dba LVPG Physiatry
- Physical Medicine & Rehabilitation Physician
- Allentown, PA
- NPI 1588719835
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1023317849
-
- Urology Physician
- Allentown, PA
- NPI 1609865971
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
dba Lehigh Valley Hospital Schuylkill S Jackson Street
- Rural Acute Care Hospital
- Pottsville, PA
- NPI 1235138405
-
dba Hazleton General Hospital
- General Acute Care Hospital
- Hazleton, PA
- NPI 1548322720
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
dba Lehigh Valley Hospital - Dickson City
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
-
- General Acute Care Hospital
- Pottsville, PA
- NPI 1427050376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1245221506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 NORTHGATE DR",
"address_2": "SUITE 100",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180179411",
"telephone_number": "610-691-8931",
"fax_number": "610-691-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LACKAWANNA AVE STE 200",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185032001",
"telephone_number": "484-884-4500",
"fax_number": "570-800-7529"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "610-402-8080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 Northgate Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180179411",
"country_code": "US",
"telephone_number": "610-691-8931",
"fax_number": "610-691-8947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGARTY",
"first_name": "KEVIN",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD044115L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.