Active NPI
Kevin G Flanagan, AV D
- Audiologist-Hearing Aid Fitter
- Irving, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 849 RT 5 & 20
Irving, NY 14081 - Phone
- (716) 934-2025
- Fax
- (716) 674-1836
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0014Z1 | NY | |
| Audiologist-Hearing Aid Fitter | 237600000X | NY | Primary |
Addresses
Primary practice location
849 RT 5 & 20
Irving, NY 14081
Mailing address
849 RT 5 & 20
Irving, NY 14081
Phone (716) 934-2025
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9210249 | Other | INDEPENDENT HEALTH | |
| 00011388702 | Other | UNIVERA | |
| 040426002404 | Other | NY | FIDELIS |
| 000576070005 | Other | COMMUNITY BLUE BCBS | |
| 00011388701 | Other | NY | UNIVERA |
| 000576070004 | Other | NY | COMMUNITY BLUE BCBS |
| 01899247 | Medicaid | NJ | |
| 02100250 | Other | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3085 Southwestern Blvd
Suite 103
Orchard Park, NY 14127-1234
Phone (716) 674-4188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001421 | NY | MD | Acupuncturist |
| 0014Z1 | NY | MD | Audiologist |
| 1SV00008841 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Shore Audiology, P C | Audiologist | Current | Accepting new patients |
| Rpci Oncology PC | Past | Accepting new patients |
Locations
849 Route 5 and 20
Irving, NY 14081
Phone (716) 627-4407
3085 Southwestern Blvd
Ste 103
Orchard Park, NY 14127
Phone (716) 674-4188
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Orchard Park, NY
- NPI 1811052939
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- Williamsville, NY
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437190451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 RT 5 & 20",
"city": "IRVING",
"state": "NY",
"postal_code": "14081",
"telephone_number": "716-934-2025",
"fax_number": "716-674-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 RT 5 & 20",
"city": "IRVING",
"state": "NY",
"postal_code": "14081",
"telephone_number": "716-934-2025",
"fax_number": "716-674-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "KEVIN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "AV D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0014Z1",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9210249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011388702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426002404",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE BCBS",
"identifier": "000576070005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00011388701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE BCBS",
"identifier": "000576070004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01899247",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "02100250",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.