Individual provider Active NPI

Kevin Peter McGrath, MD

  • Allergy & Immunology Physician
  • Wethersfield, CT
National Provider Identifier
1306840343
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
027965 Issued in CT
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

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0V0206OtherCTHEALTHNET/ACS
010027965CT01OtherCTBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
027965CTMDAllergy & Immunology Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.