Active NPI
Harvey Jay Kagan, M.D.
- Pediatrics Physician
- Norfolk, VA
National Provider Identifier
1689623902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101026429
- Practice address
- 885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800 - Phone
- (757) 461-6342
- Fax
- (757) 963-6158
- NPI assigned
- May 6, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101026429 | VA | Primary |
Addresses
Primary practice location
885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800
Mailing address
885 Kempsville Rd
Suite 200
Norfolk, VA 23502-3800
Phone (757) 461-6342
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13261 | Other | OPTIMA HEALTH PLAN | |
| 006729274 | Medicaid | VA | |
| 250425 | Other | ANTHEM BCBS | |
| 4004705 | Other | AETNA | |
| 541778786 | Other | UNITED HEALTH CARE | |
| 5417787860400E | Other | CIGNA HEALTH CARE | |
| 233012 | Other | MAMSI HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101026429 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1689623902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD",
"address_2": "SUITE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-461-6342",
"fax_number": "757-963-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 KEMPSVILLE RD",
"address_2": "SUITE 200",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023800",
"telephone_number": "757-461-6342",
"fax_number": "757-963-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "HARVEY",
"middle_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101026429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH PLAN",
"identifier": "13261",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006729274",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "250425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4004705",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "541778786",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "5417787860400E",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI HEALTH PLAN",
"identifier": "233012",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.