Active NPI
Kevin M Reidy, M.D.
- Pediatrics Physician
- Crestview Hills, KY
National Provider Identifier
1780668707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35556
- Practice address
- 2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912 - Phone
- (859) 341-5400
- Fax
- (859) 578-4594
- NPI assigned
- Dec 2, 2005
- 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 | 35556 | KY | Primary |
Addresses
Primary practice location
2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912
Mailing address
2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912
Phone (859) 341-5400
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35556 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates PSC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Crestview Hills, KY
- NPI 1497808687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780668707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 CHANCELLOR DR",
"address_2": "SUITE 225",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173912",
"telephone_number": "859-341-5400",
"fax_number": "859-578-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 CHANCELLOR DR",
"address_2": "SUITE 225",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173912",
"telephone_number": "859-341-5400",
"fax_number": "859-578-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIDY",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "35556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview Hills, KY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.