Active NPI
Kathleen E. Ward, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1316016868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 142653
- Practice address
- Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461 - Phone
- (718) 918-5755
- Fax
- (718) 918-7701
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 142653 | NY | Primary |
Addresses
Primary practice location
Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461
Mailing address
3755 Henry Hudson Pkwy
#14G
Bronx, NY 10463-1535
Phone (718) 884-2390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20170922000907 | NY | Order and Referring Only - Internal Medicine | 1355521105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142653 | NY | MD | Internal Medicine Physician |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- kward839066@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316016868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 HENRY HUDSON PKWY",
"address_2": "#14G",
"city": "BRONX",
"state": "NY",
"postal_code": "104631535",
"telephone_number": "718-884-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JACOBI MEDICAL CENTER",
"address_2": "1400 PELHAM PARKWAY SOUTH",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-918-5755",
"fax_number": "718-918-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "KATHLEEN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "142653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.