Individual provider Active NPI

Kathleen Elizabeth McLoughlin, MD

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1295846715
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G70670 Issued in CA
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

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G706700MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
G70670CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Family Medicine Associates PC Family Medicine CurrentSince Mar 15, 2014 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.

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

Verify at the official NPI Registry.