Individual provider Active NPI

Kevin T Fogarty, M.D.

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1245221506
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD044115L Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000401 PA Practitioner - Diagnostic Radiology 6901891035 Reassigns benefits to 2 organizations

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
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians

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

OrganizationSpecialtyStatusNew patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Mar 20, 2017 Accepting new patients
Lehigh Valley Hospital Diagnostic Radiology CurrentSince Jun 15, 2017 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2022 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2022 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients
Urology Specialists of the Lehigh Valley PC PastSince Oct 17, 2018 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.