Individual provider Active NPI

Kenessa B Edwards, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newburgh, NY
National Provider Identifier
1871882795
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
273126-1 Issued in NY
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

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04501364MedicaidNY

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
I20160920002894 NY Practitioner - AnesthesiologyPractitioner - Pain Management 5890082796 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

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

LicenseStateTypeSpecialty
273126-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Pain Medicine Current Accepting new patients
United Memorial Medical Center CurrentSince Dec 10, 2016 Accepting new patients
Western New York Medical Practice P.C. Pain Medicine CurrentSince Jul 16, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2016 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jul 16, 2018 Accepting new patients
St James Hospital CurrentSince Apr 1, 2016 Accepting new patients
Rochester General Hospital CurrentSince Jul 16, 2018 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Nov 6, 2019 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.

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

Verify at the official NPI Registry.