Individual provider Active NPI

John Kevin Fitzpatrick, M.D.

  • Obstetrics & Gynecology Physician
  • Poughkeepsie, NY
National Provider Identifier
1831176148
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206765 Issued in NY
Practice address
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone
(716) 601-5419
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 80278 CT
Obstetrics & Gynecology Physician 207V00000X 242431 MA
Obstetrics & Gynecology Physician 207V00000X 206765 NY Primary

Addresses

Primary practice location

45 Reade PL
Poughkeepsie, NY 12601-3947

Mailing address

64 Grandview Acres Rd
Phoenicia, NY 12464-5301
Phone (716) 601-5419

Other practice location 1

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Other practice location 2

34 Maple St
Norwalk, CT 06850-3894
Phone (716) 601-5419

Other identifiers 11

IdentifierTypeStateIssuer
00010307607OtherNYUNIVERA
00010307609OtherNYUNIVERA
000525153011OtherNYBC/BS
111517CKOtherNYPREFERRED CARE
040426000844OtherNYFIDELIS
050407000022OtherNYFIDELIS
01775837MedicaidNY
0709873OtherNYIND. HEALTH
0709873OtherNYIHA
000525153009OtherNYBC/BS
452962OtherNYWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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
I20050322001024 NY Practitioner - Obstetrics/Gynecology 0042266173 Reassigns benefits to 2 organizations
I20190702002234 MA Practitioner - Obstetrics/Gynecology 0042266173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

2515 S Rd
Poughkeepsie, NY 12601-5473
Phone (845) 278-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80278CTMDObstetrics & Gynecology Physician
206765NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals Current Accepting new patients
The General Hospital Corporation CurrentSince Apr 13, 2020 Accepting new patients
Atrius Health, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 1, 2025 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 29, 2017 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Atrius Health, Inc. CurrentSince Jun 1, 2019 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 29, 2017 Accepting new patients
Massachusetts General Physicians Organization Inc Obstetrics & Gynecology CurrentSince Apr 13, 2020 Accepting new patients
University Gynecologists & Obstetricians,Inc. Obstetrics & Gynecology Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Evergreen Women'S Health Group, LLP Obstetrics & Gynecology Past Accepting new patients
County of Erie Comptrollers Office Past Accepting new patients
Vassar Brothers Hospital Past Accepting new patients
New York Physician Consultant Solutions PC Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

147 Milk St
Boston, MA 02109
Phone (617) 421-2508

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

2515 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-3111

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: jfitzpatrick229868@direct.optum.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1831176148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GRANDVIEW ACRES RD",
            "city": "PHOENICIA",
            "state": "NY",
            "postal_code": "124645301",
            "telephone_number": "716-601-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "716-601-5419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 Spring Brook Ave",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125723709",
            "country_code": "US",
            "telephone_number": "845-876-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Maple St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068503894",
            "country_code": "US",
            "telephone_number": "716-601-5419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "80278",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "242431",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010307607",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010307609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000525153011",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "111517CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426000844",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050407000022",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775837",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. HEALTH",
            "identifier": "0709873",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0709873",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000525153009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "452962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.