Active NPI
Kevin J Mudd, MD
- Radiation Oncology Physician
- Batavia, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 198795
- Practice address
- 262 Bank St
Batavia, NY 14020-1537 - Phone
- (585) 344-3050
- Fax
- (585) 344-3043
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 198795 | NY | |
| Radiation Oncology Physician | 2085R0001X | 198795 | NY | Primary |
Addresses
Primary practice location
262 Bank St
Batavia, NY 14020-1537
Mailing address
262 Bank St
Batavia, NY 14020-1537
Phone (585) 344-3050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35459A | Other | NY | MEDICARE GROUP PTAN |
| 01685405 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmudd7181@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | kmudd7181@direct.urmc.rochester.edu | Direct |
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
- Radiation Oncology
- Education
- State University of New York Downstate Medical Center, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
262 Bank St
Batavia, NY 14020-1537
Phone (585) 344-3050
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100
738 Library Rd
Rochester, NY 14642-0001
Phone (585) 275-2638
Hospital & facility affiliations
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.84 of 100
- Quality
- 68.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198795 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Radiation Oncology | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Radiation Oncology | Current | Accepting new patients |
| Highland Hospital of Rochester | Current | Accepting new patients | |
| Highland Hospital of Rochester | Current | Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
262 Bank St
Batavia, NY 14020
Phone (585) 344-3050
601 Elmwood Ave
#320
Rochester, NY 14642
601 Elmwood Ave
#888
Rochester, NY 14642
Phone (585) 784-9582
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- kmudd7181@direct.urmc.rochester.edu
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
-
- Family Medicine Physician
- Rochester, NY
- NPI 1740220698
Radiation Oncology
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1881644722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 BANK ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201537",
"telephone_number": "585-344-3050",
"fax_number": "585-344-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 BANK ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201537",
"telephone_number": "585-344-3050",
"fax_number": "585-344-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDD",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "198795",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "198795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "35459A",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01685405",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmudd7181@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmudd7181@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.