Individual provider Active NPI

Kathryn Elyse McHugh, M.D.

  • Family Medicine Physician
  • Lowville, NY
National Provider Identifier
1851771174
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21806 Issued in FL
Practice address
5402 Dayan St
Lowville, NY 13367-1100
Phone
(315) 376-5558
Fax
(315) 376-5587
NPI assigned
Jun 2, 2015
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21806 FL Primary

Addresses

Primary practice location

5402 Dayan St
Lowville, NY 13367-1100

Mailing address

5402 Dayan St
Lowville, NY 13367-1100
Phone (315) 376-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20180122001547 FL Practitioner - Family PracticePractitioner - Hospitalist 7113231580 Reassigns benefits to 1 organization
I20180522002703 NY Practitioner - Family Practice 7113231580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

1688 W Granada Blvd
Suite 2a
Ormond Beach, FL 32174-1818
Phone (386) 425-4460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21806FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lowville Medical Associates LLP CurrentSince Jul 9, 2018 Accepting new patients

Locations

5402 Dayan St
Lowville, NY 13367
Phone (315) 376-4600

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kathryn.mchugh.2@16462.direct.athenahealth.com

Organizations & group practices 2

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1851771174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-376-5558",
            "fax_number": "315-375-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-376-5558",
            "fax_number": "315-376-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "KATHRYN",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "21806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.