Active NPI
Kathy Purvis, MD
- Pediatrics Physician
- Bedford Hills, NY
National Provider Identifier
1336221027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 222455
- Practice address
- 192 Route 117 Bypass Rd
Mount Kisco Medical Group PC
Bedford Hills, NY 10507-2146 - Phone
- (914) 241-1050
- Fax
- (914) 232-3826
- NPI assigned
- Oct 20, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 222455 | NY | Primary |
Addresses
Primary practice location
192 Route 117 Bypass Rd
Mount Kisco Medical Group PC
Bedford Hills, NY 10507-2146
Mailing address
110 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02288815 | Medicaid | NY | |
| 0667910001 | Other | NY | DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Past | Accepting new patients | |
| Matthew H. Ornstein, MD, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1558458414
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470441600000",
"number": "1336221027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493446",
"telephone_number": "914-241-1050",
"fax_number": "914-232-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 ROUTE 117 BYPASS RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105072146",
"telephone_number": "914-241-1050",
"fax_number": "914-232-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURVIS",
"first_name": "KATHY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2016-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "222455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02288815",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "0667910001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.