Individual provider Active NPI

Michael F Kerin, MD

  • Surgery Physician
  • Bronxville, NY
National Provider Identifier
1376577817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
218921 Issued in NY
Practice address
1 Stone PL
Suite 303
Bronxville, NY 10708-3426
Phone
(914) 793-0996
Fax
(914) 793-9878
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 218921 NY Primary

Addresses

Primary practice location

1 Stone PL
Suite 303
Bronxville, NY 10708-3426

Mailing address

1 Stone PL
Suite 303
Bronxville, NY 10708-3426
Phone (914) 793-0996

Other identifiers 1

IdentifierTypeStateIssuer
02103482MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000645 NY Practitioner - General Surgery 6406876291 Practice locations: Tuckahoe, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218921NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care and Regenerative Solutions LLC PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376577817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 303",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-793-0996",
            "fax_number": "914-793-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 303",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-793-0996",
            "fax_number": "914-793-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERIN",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "218921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02103482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

Verify at the official NPI Registry.