Individual provider Active NPI

Kevin B Taylor, M.D.

  • Diagnostic Radiology Physician
  • Erie, PA
National Provider Identifier
1396122149
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
TMD005357 Issued in PA
Practice address
201 State St
Erie, PA 16550-0002
Phone
(814) 877-6182
Fax
(814) 877-6149
NPI assigned
Apr 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TMD005357 PA Primary

Addresses

Primary practice location

201 State St
Erie, PA 16550-0002

Mailing address

201 State St
Erie, PA 16550-0002
Phone (814) 877-6182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, PA, TX, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210415000464 NM Practitioner - Diagnostic Radiology 6901214774 Reassigns benefits to 4 organizations
I20210810002349 PA Practitioner - Diagnostic Radiology 6901214774 Reassigns benefits to 2 organizations
I20230719004310 TX Practitioner - Diagnostic Radiology 6901214774 Reassigns benefits to 1 organization
I20240730002895 NY Practitioner - Diagnostic Radiology 6901214774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Miners' Colfax Medical CenterGroup PAC ID 5294647400, 22 clinicians
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

1324 S Shore Dr
Unit 707
Erie, PA 16505-2540
Phone (888) 264-0330

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

160 E Main St
Port Jervis, NY 12771-2114
Phone (845) 585-7000

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-7720

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 483-5306

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132

42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Upmc Northwest Hospital, Seneca, PA, CCN 390091
  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TMD005357PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coaxion PLLC Diagnostic Radiology CurrentSince Jun 1, 2026 Accepting new patients
Great Lakes Physician Practice PC CurrentSince Aug 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2026 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Diagnostic Radiology CurrentSince Jun 1, 1997 Accepting new patients
Regional Health Services Inc CurrentSince Jun 28, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Jan 16, 2024 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Apr 7, 2022 Accepting new patients
Peterson Medical Associates CurrentSince Aug 21, 2023 Accepting new patients
Miners Colfax Medical Center Current Accepting new patients
Miners Colfax Medical Center CurrentSince Mar 19, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Diagnostic Radiology CurrentSince Jan 16, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Associates in Medicine, P.a. Past Accepting new patients
Merit Radiology PLLC Diagnostic Radiology Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

201 State St
Erie, PA 16550
Phone (814) 877-2137

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

100 Fairfield Dr
Seneca, PA 16346
Phone (814) 676-7600

860 S 8th St
Beaumont, TX 77701
Phone (409) 236-8700

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

12890 East Fwy
Houston, TX 77015
Phone (713) 330-3887

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600

2100 Preston St
Richmond, TX 77469
Phone (281) 232-2075

123 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 364-0317

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21774/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ktaylor34472@direct.vumc.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1396122149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6182",
            "fax_number": "814-877-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6182",
            "fax_number": "814-877-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEVIN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "TMD005357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.