Individual provider Active NPI

Ronald Clifford Kinsey, MD

  • Emergency Medicine Physician
  • McHenry, MD
National Provider Identifier
1477580660
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D47699 Issued in MD
Practice address
23789 Garrett Hwy
MC Henry, MD 21541-1338
Phone
(240) 964-7000
NPI assigned
Jun 26, 2006
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0047699 MD
Emergency Medicine Physician 207P00000X 29400 WV
Emergency Medicine Physician 207P00000X D47699 MD Primary

Addresses

Primary practice location

23789 Garrett Hwy
MC Henry, MD 21541-1338

Mailing address

4512 Windsor LN
Bethesda, MD 20814-4725
Phone (301) 312-6091

Other practice location 1

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone (240) 964-9300

Other practice location 2

10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
Phone (301) 689-3229

Other practice location 3

45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501

Other practice location 4

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (540) 364-2259

Other identifiers 4

IdentifierTypeStateIssuer
872044400MedicaidMD
037061800MedicaidDC
76881001OtherMDBS
H9140015OtherDCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090224000378 MD Practitioner - Emergency Medicine 4082647755 Reassigns benefits to 3 organizations
I20200717000262 WV Practitioner - Emergency Medicine 4082647755

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8354

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Sep 16, 2019 Accepting new patients
Cumberland Emergency Medical Group PA Emergency Medicine Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients

Locations

1050 W Industrial Blvd
Cumberland, MD 21502
Phone (240) 964-9300

1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

900 Seton Dr
Cumberland, MD 21502
Phone (301) 723-4200

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

23789 Garrett Hwy
Mc Henry, MD 21541
Phone (240) 488-4139

45 Hunt Club Dr
Ridgeley, WV 26753
Phone (304) 726-4501

Interoperability endpoints

  • Direct secure messaging: rkinsey138878@upmc.direct-ci.com

Organizations & group practices 8

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.

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1477580660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 WINDSOR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144725",
            "telephone_number": "301-312-6091",
            "fax_number": "301-312-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23789 GARRETT HWY",
            "city": "MC HENRY",
            "state": "MD",
            "postal_code": "215411338",
            "telephone_number": "240-964-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 New Georges Creek Rd SW",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215321457",
            "country_code": "US",
            "telephone_number": "301-689-3229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11711 Livingston Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445151",
            "country_code": "US",
            "telephone_number": "540-364-2259",
            "fax_number": "540-364-6033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "RONALD",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0047699",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "29400",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D47699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "872044400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037061800",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "76881001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "H9140015",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, MD

Sources for this page

Verify at the official NPI Registry.