Active NPI
Kenessa B Edwards, MD
- Pain Medicine (Anesthesiology) Physician
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 273126-1
- Practice address
- 70 Dubois Street
St. Lukes Hospital
Newburgh, NY 12550 - Phone
- (845) 561-4400
- Fax
- (585) 368-3219
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 273126-1 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 273126 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 273126-1 | NY | Primary |
Addresses
Primary practice location
70 Dubois Street
St. Lukes Hospital
Newburgh, NY 12550
Mailing address
2 Catharine Street, P.O. Box 550
Mid-Hudson Anesthesiologists, PC
Poughkeepsie, NY 12602
Phone (866) 885-2318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04501364 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273126-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Pain Medicine | Current | Accepting new patients |
| United Memorial Medical Center | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Pain Medicine | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| St James Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| United Memorial Medical Center | Current | Accepting new patients |
Locations
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
127 North St
Batavia, NY 14020
Phone (585) 267-7510
229 Summit St
Ste 4
Batavia, NY 14020
Phone (585) 344-5470
1055 Stewart Ave
Bethpage, NY 11714
Phone (516) 938-0100
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000
14015 Sanford Ave
Flushing, NY 11355
Phone (718) 670-6400
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
300 Community Dr
Plandome, NY 11030
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
2655 Ridgeway Ave
Ste 420
Rochester, NY 14626
Phone (585) 723-7705
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
Pain Medicine
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1871882795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CATHARINE STREET, P.O. BOX 550",
"address_2": "MID-HUDSON ANESTHESIOLOGISTS, PC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12602",
"telephone_number": "866-885-2318",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DUBOIS STREET",
"address_2": "ST. LUKES HOSPITAL",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-561-4400",
"fax_number": "585-368-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "KENESSA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "273126-1",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "273126",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "273126-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04501364",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.