Active NPI
Kenneth Edward Redcross, M.D.
- Internal Medicine Physician
- Eastchester, NY
National Provider Identifier
1396757571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 219349
- Practice address
- 475 White Plains Rd Ste 14
Eastchester, NY 10709-5537 - Phone
- (914) 337-4445
- NPI assigned
- Aug 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 219349 | NY | Primary |
Addresses
Primary practice location
475 White Plains Rd Ste 14
Eastchester, NY 10709-5537
Mailing address
189 Storer Ave
New Rochelle, NY 10801-3133
Phone (818) 633-1556
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695
5 Penn PLZ
FL 23
New York, NY 10001-1810
Phone (718) 360-9370
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219349 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyons Medical Care, PLLC | Internal Medicine | Current | Accepting new patients |
| Medi-Stop, Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1275290025
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245415991
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1982565685
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1245191956
-
- Rehabilitation Clinic/Center
- Hudson, NY
- NPI 1457026353
-
- Urgent Care Clinic/Center
- Sacramento, CA
- NPI 1699844290
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- Community Based Hospice Care Agency
- Bronx, NY
- NPI 1396756524
-
- Home Health Agency
- Bronx, NY
- NPI 1154025237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1396757571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 STORER AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108013133",
"telephone_number": "818-633-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 WHITE PLAINS RD STE 14",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107095537",
"telephone_number": "914-337-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDCROSS",
"first_name": "KENNETH",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "219349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastchester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.