Individual provider Active NPI

Kevin Michael Kollins, MD

  • Pediatric Cardiology Physician
  • Winchester, VA
National Provider Identifier
1952563462
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
0101247571 Issued in VA
Practice address
480 W Jubal Early Dr Ste 320
Winchester, VA 22601-6449
Phone
(540) 686-1514
Fax
(540) 686-1516
NPI assigned
Jun 26, 2008
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 0101247571 VA Primary

Addresses

Primary practice location

480 W Jubal Early Dr Ste 320
Winchester, VA 22601-6449

Mailing address

480 W Jubal Early Dr Ste 320
Winchester, VA 22601-6449
Phone (540) 686-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AK, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101209001333 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5395932826 Reassigns benefits to 1 organization
I20181128000226 AK Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 5395932826
I20190118000074 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 5395932826 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101247571VAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 1, 2019 Accepting new patients
Seattle Childrens Hospital CurrentSince Oct 4, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 1, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Dec 19, 2018 Accepting new patients
Pediatric Cardiology of Winchester, LLC Pediatric Cardiology CurrentSince Oct 13, 2024 Accepting new patients
Seattle Children's Hospital Pediatric Cardiology CurrentSince Oct 4, 2018 Accepting new patients

Locations

3260 Providence Dr
Anchorage, AK 99508
Phone (907) 212-3655

3841 Piper St
Ste T345
Anchorage, AK 99508
Phone (907) 339-1945

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

480 W Jubal Early Dr
Ste 320
Winchester, VA 22601
Phone (540) 486-4138

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

Interoperability endpoints

  • Direct secure messaging: pediatriccardiologyofwinchester.kevinkollins@160232.advancedmd-direct.com

Organizations & group practices 8

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1952563462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W JUBAL EARLY DR STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016449",
            "telephone_number": "540-686-1514",
            "fax_number": "540-686-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W JUBAL EARLY DR STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016449",
            "telephone_number": "540-686-1514",
            "fax_number": "540-686-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLINS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101247571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.