Individual provider Active NPI

Kevin George O'Gara, MD

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1831124619
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
209616 Issued in NY
Practice address
1800 English Rd Ste 10
Rochester, NY 14616-1600
Phone
(585) 225-2525
Fax
(585) 225-2626
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 209616 NY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 209616 NY
Pediatrics Physician 208000000X 209616 NY Primary

Addresses

Primary practice location

1800 English Rd Ste 10
Rochester, NY 14616-1600

Mailing address

1800 English Rd Ste 10
Rochester, NY 14616-1600
Phone (585) 225-2525

Other identifiers 1

IdentifierTypeStateIssuer
01911031MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kogara4811@direct.urmc.rochester.edu Direct
Direct Messaging Address kogara4811@direct.urmc.rochester.edu Direct

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
I20100408000177 NY Practitioner - Pediatric Medicine 8426184029 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209616NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Apr 30, 2013 Accepting new patients
Rochester General Hospital CurrentSince Jan 26, 2010 Accepting new patients
Emergency Associates - University of Rochester CurrentSince May 26, 2011 Accepting new patients
Rochester General Hospital Pediatrics Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Apr 30, 2013 Accepting new patients
Rochester General Hospital CurrentSince Jan 26, 2010 Accepting new patients
Rochester General Hospital PastSince Jul 17, 2021 Accepting new patients
English Road Pediatrics and Adolescent Medicine Pediatrics PastSince Jul 17, 2021 Accepting new patients

Locations

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1425 Portland Ave
#305
Rochester, NY 14621
Phone (585) 922-2000

Interoperability endpoints

  • Direct secure messaging: kogara4811@direct.urmc.rochester.edu
  • Direct secure messaging: kevinogaramd@erpam.medentdirect.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1831124619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH RD STE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-2525",
            "fax_number": "585-225-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ENGLISH RD STE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161600",
            "telephone_number": "585-225-2525",
            "fax_number": "585-225-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GARA",
        "first_name": "KEVIN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-07-03",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "209616",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "209616",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01911031",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogara4811@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogara4811@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.