KEVIN HIGGINS
NPI 1174818249
Psychologist - Clinical in San Jose, CA
About Kevin Higgins NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN HIGGINS (NPI 1174818249) is an individual clinical provider in San Jose, California, licensed in California (PSY29234) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin Higgins is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95138
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Higgins's NPI number?
The NPI number for Kevin Higgins is 1174818249. It was assigned to this individual provider in the NPPES registry on June 16, 2011.
Where is Kevin Higgins located?
Kevin Higgins practices at 5504 Monterey Hwy, San Jose, CA 95138. The listed phone number is (408) 729-9700.
What is Kevin Higgins's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kevin Higgins enrolled in Medicare?
Yes. Kevin Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kevin Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Higgins reassigns Medicare benefits to Bay Area Community Health (Fremont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Higgins was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Higgins · NPI 1174818249
Clinical provider in San Jose, California. Individual provider, active in the CMS NPPES registry since June 16, 2011.
## Identity
- **NPI:** 1174818249 (Entity type: Individual)
- **Enumerated:** June 16, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY29234 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5504 MONTEREY HWY, San Jose, CA 95138-1529
- **Phone:** (408) 729-9700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bay Area Community Health (NPI 1780054379, Fremont, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1174818249) · Data from the CMS NPPES public registry.