KATHLEEN P HUESTIS MD
NPI 1255595641
Family Medicine in Ticonderoga, NY
About Kathleen P Huestis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN P HUESTIS MD (NPI 1255595641) is an individual family medicine provider in Ticonderoga, New York, licensed in New York (257880) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen P Huestis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Kathleen Huestis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shoreham, VT 05770
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1073567590 (Vermont), NPI 1336193838 (Vermont), NPI 1780969345 (Vermont), NPI 1104870922 (Vermont)
- 139 clinicians in this Medicare group
Queensbury, NY 12804
- Reassigned Medicare billing, New York enrollment
- 456 clinicians in this Medicare group
Troy, NY 12182
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 179 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, New York enrollment
- 158 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, New York enrollment
- 178 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 12883 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TICONDEROGA, NY 12883
TICONDEROGA, NY 12883
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 Kathleen Huestis's NPI number?
The NPI number for Kathleen Huestis is 1255595641. It was assigned to this individual provider in the NPPES registry on July 15, 2008. The provider is also known as Kathleen Ann Pangia MD.
Where is Kathleen Huestis located?
Kathleen Huestis practices at 102 Race Track Rd, Ticonderoga, NY 12883. The listed phone number is (518) 585-6708.
What is Kathleen Huestis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Huestis enrolled in Medicare?
Yes. Kathleen Huestis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Huestis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Huestis reassigns Medicare benefits to 6 organizations: Community Health Centers Of The Rutland Region, Inc (Shoreham, VT), Saratoga Hospital (Queensbury, NY), Mikram Jafri MD PC (Troy, NY), New York General Medical Services PC (New York, NY), Cs Pacs 3 Northeast, LLC (Frederick, MD) and 1 more organization, listed in the Medicare section above. Each 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 Kathleen Huestis'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 Kathleen Huestis was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kathleen P Huestis, MD · NPI 1255595641
Family Medicine physician in Ticonderoga, New York. Individual provider, active in the CMS NPPES registry since July 15, 2008.
## Identity
- **NPI:** 1255595641 (Entity type: Individual)
- **Enumerated:** July 15, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 257880 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 RACE TRACK RD, Ticonderoga, NY 12883-4004
- **Phone:** (518) 585-6708 · **Fax:** (518) 585-3260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Community Health Centers Of The Rutland Region, Inc (NPI 1811241094, Shoreham, VT); Saratoga Hospital (NPI 1275177321, Queensbury, NY); Mikram Jafri MD PC (NPI 1831800747, Troy, NY); New York General Medical Services PC (NPI 1700315538, New York, NY); Cs Pacs 3 Northeast, LLC (NPI 1093598898, Frederick, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2017
- **Other identifiers:** Medicaid 03255272 (NY); Medicare PIN J400031263 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1255595641) · Data from the CMS NPPES public registry.