Individual provider Active NPI

Kevin K Dodd, MD

  • Gastroenterology Physician
  • Kingston, NY
National Provider Identifier
1437130085
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1944251 Issued in NY
Practice address
26 Pearl Street
Kingston, NY 12401
Phone
(845) 331-8222
Fax
(845) 331-1433
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 194425 NY
Gastroenterology Physician 207RG0100X 1944251 NY Primary

Addresses

Primary practice location

26 Pearl Street
Kingston, NY 12401

Mailing address

26 Pearl Street
Kingston, NY 12401
Phone (845) 331-8222

Other practice location 1

210 Cornelia St Ste 401
Plattsburgh, NY 12901-2318
Phone (518) 314-3926

Other practice location 2

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Other identifiers 1

IdentifierTypeStateIssuer
01724441MedicaidNY

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
I20060919000478 NY Practitioner - Gastroenterology 8426053794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Columbia University College of Physicians and Surgeons, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson Valley Gastroenterology PCGroup PAC ID 6800891177, 5 clinicians

Practice addresses (Care Compare)

26 Pearl St
Kingston, NY 12401-4522
Phone (845) 331-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100Reported as group
Quality
65.93
Improvement activities
40
Cost
78.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy424
Upper gastrointestinal (GI) endoscopy for acid reflux449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194425NYMDGastroenterology Physician
1944251NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Gastroenterology PC Gastroenterology CurrentSince Aug 8, 2006 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince May 24, 2021 Accepting new patients
Northern Lights Sleep Medicine, PC PastSince May 24, 2021 Accepting new patients
Singular Anesthesia Services, PLLC Past Accepting new patients

Locations

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

210 Cornelia St
Ste 401
Plattsburgh, NY 12901
Phone (518) 314-3460

Interoperability endpoints

  • Direct secure messaging: drkevindodd@hvg.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1437130085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PEARL STREET",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-331-8222",
            "fax_number": "845-331-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PEARL STREET",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-331-8222",
            "fax_number": "845-331-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Cornelia St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012318",
            "country_code": "US",
            "telephone_number": "518-314-3926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-561-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "KEVIN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "194425",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1944251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.