Individual provider Active NPI

Brian Patrick Kinealy, MD

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1982232237
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
112896 Issued in GA
Practice address
1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440
Phone
(404) 351-5045
Fax
(404) 355-0691
NPI assigned
Mar 31, 2020
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 112896 GA Primary

Addresses

Primary practice location

1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440

Mailing address

1720 Peachtree St NW Ste 200
Atlanta, GA 30309-2440
Phone (404) 351-5045

Other practice location 1

Uk Medical Center 800 Rose Street Room C-236
Lexington, KY 40536-0001
Phone (859) 218-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260527000871 GA Practitioner - Otolaryngology 3779967476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Missouri, Columbia School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Northridge Rd
Suite 400
Atlanta, GA 30350-3314

PO Box
New York, NY 10087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112896GAMDOtolaryngology Physician

Organizations & group practices 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1982232237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092440",
            "telephone_number": "404-351-5045",
            "fax_number": "404-355-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092440",
            "telephone_number": "404-351-5045",
            "fax_number": "404-355-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uk Medical Center 800 Rose Street Room C-236",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-218-2143",
            "fax_number": "859-323-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINEALY",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "112896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.