Active NPI
Kevin Peter McGrath, MD
- Allergy & Immunology Physician
- Wethersfield, CT
National Provider Identifier
1306840343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 027965
- Practice address
- 912 Silas Deane Hwy Ste 100
Wethersfield, CT 06109-3497 - Phone
- (860) 257-3535
- Fax
- (860) 257-0551
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 027965 | CT | Primary |
Addresses
Primary practice location
912 Silas Deane Hwy Ste 100
Wethersfield, CT 06109-3497
Mailing address
912 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109-3434
Phone (203) 255-9155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0V0206 | Other | CT | HEALTHNET/ACS |
| 010027965CT01 | Other | CT | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmcgrath16806@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Creighton University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
912 Silas Deane Hwy 100
Wethersfield, CT 06109-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027965 | CT | MD | Allergy & Immunology Physician |
Interoperability endpoints
- kmcgrath2386787@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1306840343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 SILAS DEANE HWY",
"address_2": "STE 100",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093434",
"telephone_number": "203-255-9155",
"fax_number": "860-257-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 SILAS DEANE HWY STE 100",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093497",
"telephone_number": "860-257-3535",
"fax_number": "860-257-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "KEVIN",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CT",
"license": "027965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ACS",
"identifier": "0V0206",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "010027965CT01",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmcgrath16806@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "Trinity Health of New England Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "912 Silas Deane Hwy Ste 100",
"city": "Wethersfield",
"state": "CT",
"country_code": "US",
"postal_code": "061093497",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.