Active NPI
Richard Jeffrey Kagan, MD
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1851369714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-056534
- Practice address
- 3229 Burnet Avenue
Cincinnati, OH 45229-3095 - Phone
- (513) 872-6206
- Fax
- (513) 872-6396
- NPI assigned
- Mar 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35-056534 | OH | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35-056534 | OH |
Addresses
Primary practice location
3229 Burnet Avenue
Cincinnati, OH 45229-3095
Mailing address
PO Box 8500 Lock Box #8302
Shriners Hospital for Children
Philadelphia, PA 19178-8302
Phone (813) 281-8487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0693692 | Medicaid | OH | |
| 64860018 | Medicaid | KY |
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 |
|---|---|---|---|
| 35-056534 | OH | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Medical Center, LLC | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients | |
| West Chester Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- West Chester, OH
- NPI 1912285115
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1851369714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 LOCK BOX #8302",
"address_2": "SHRINERS HOSPITAL FOR CHILDREN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191788302",
"telephone_number": "813-281-8487",
"fax_number": "813-281-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3229 BURNET AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293095",
"telephone_number": "513-872-6206",
"fax_number": "513-872-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "RICHARD",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-056534",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OH",
"license": "35-056534",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0693692",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64860018",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.