Active NPI
Kathleen Elizabeth McLoughlin, MD
- Family Medicine Physician
- Merced, CA
National Provider Identifier
1295846715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G70670
- Practice address
- 535 W 25TH St
Merced, CA 95340-2801 - Phone
- (209) 722-9066
- Fax
- (209) 383-1522
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G70670 | CA | Primary |
Addresses
Primary practice location
535 W 25TH St
Merced, CA 95340-2801
Mailing address
2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904-5224
Phone (209) 722-9066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G706700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140730002206 | DC | Practitioner - Family Practice | 8426120056 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70670 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Family Medicine Associates PC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University Care LLC | Family Medicine | Past | Accepting new patients |
| University Care | Past | Accepting new patients |
Locations
2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904
Phone (301) 989-0193
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Silver Spring, MD
- NPI 1972604023
DC, Family Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Health Service Psychologist
- Baltimore, MD
- NPI 1629210166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1295846715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MUSGROVE RD",
"address_2": "STE 105",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045224",
"telephone_number": "209-722-9066",
"fax_number": "209-383-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W 25TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402801",
"telephone_number": "209-722-9066",
"fax_number": "209-383-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLOUGHLIN",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G70670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G706700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.