Active NPI
Kevin Arthur Dolan, MD
- Pain Medicine (Anesthesiology) Physician
- Langhorne, PA
National Provider Identifier
1396701645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MA10215900
- Practice address
- 1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201 - Phone
- (215) 710-2196
- Fax
- (215) 710-2408
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD068241L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD068241L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 068241L | PA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MA10215900 | NJ | Primary |
Addresses
Primary practice location
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Mailing address
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2196
Other practice location 1
1201 New Rd Ste 120
Linwood, NJ 08221-1152
Phone (888) 407-5985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018022550005 | Medicaid | PA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068241L | PA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia | Past | Accepting new patients | |
| Associates in Anesthesia, Inc. | Pain Medicine | Past | Accepting new patients |
| Professional Pain Management Assoc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
Pain Medicine
-
- Pain Medicine Physician
- Williamstown, NJ
- NPI 1508932245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1396701645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LANGHORNE NEWTOWN RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471201",
"telephone_number": "215-710-2196",
"fax_number": "215-710-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LANGHORNE NEWTOWN RD",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471201",
"telephone_number": "215-710-2196",
"fax_number": "215-710-2408"
}
],
"practiceLocations": [
{
"address_1": "1201 New Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Linwood",
"state": "NJ",
"postal_code": "082211152",
"country_code": "US",
"telephone_number": "888-407-5985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLAN",
"first_name": "KEVIN",
"middle_name": "ARTHUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "PA",
"license": "MD068241L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "MD068241L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "068241L",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MA10215900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018022550005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.