DR. KEVIN RUSSELL DOUGHERTY M.D. NPI 1114188711

NPI Details

DR. Kevin Russell Dougherty, M.D. is a cardiovascular disease internal medicine in Hartford, CT with 18 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kevin Russell Dougherty, M.D. NPI is 1114188711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

85 SEYMOUR ST
SUITE 719
HARTFORD, CT
ZIP 06106-501
Phone: (860) 522-0604
Fax: (860) 522-1761

The NPI 1114188711 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
• Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
• Injection, regadenoson, 0.1 mg (HCPCS:J2785)
• Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
• Heart muscle strain imaging (HCPCS:93356)
• Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional (HCPCS:93268)
• Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
• Critical care, first 30-74 minutes (HCPCS:99291)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
• Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
• Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)

The enumeration date for this NPI number is 6/17/2008 and was last updated on 5/20/2015.

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:

Other Identifiers

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