DR. TIMOTHY DENNIS KANE M.D. NPI 1770557175

NPI Information

NPI: 1770557175
Provider Name: DR. TIMOTHY DENNIS KANE, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
111 MICHIGAN AVE. N.W., W4-200
WASHINGTON, DC
ZIP 20010
Phone: (202) 476-2151
Get Directions

DR. Timothy Dennis Kane, M.D. is a pediatric surgery surgery in Washington, DC with 32 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Timothy Dennis Kane, M.D. NPI is 1770557175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:1992

The provider's business location address is:

111 MICHIGAN AVE. N.W., W4-200
WASHINGTON, DC
ZIP 20010
Phone: (202) 476-2151
Fax: (202) 476-4174

The NPI 1770557175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 5/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD073515L	PENNSYLVANIA	No
2	2086S0120X	Surgery	Pediatric Surgery	MD038997	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	098048400	MEDICAID	DISTRICT OF COLUMBIA
2	001839291	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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