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KEVIN RYAN PATRICK PHYSICIAN ASSISTANT
NPI 1306405931
Physician Assistant - Surgical in Norwalk, CT

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
34 MAPLE ST, NORWALK, CT 06850(203) 852-2000 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2023, Jun 7, 2019 (2 updates tracked since 2019).

About Kevin Ryan Patrick Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RYAN PATRICK PHYSICIAN ASSISTANT (NPI 1306405931) is an individual surgical provider in Norwalk, Connecticut, licensed in Connecticut (5905) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Dutchess Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306405931
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN RYAN PATRICKCredential: PHYSICIAN ASSISTANT
Location Address34 MAPLE STNorwalk, CT 06850-3894
Mailing Address34 Maple StNorwalk, CT 06850-3894 · (585) 224-5680
Phone(203) 852-2000
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1306405931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 5905
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00794900 (NJ)
34 MAPLE ST, Norwalk, CT 06850
Open in Google Maps ↗

Secondary Practice Locations 2

Location 187th Medical Group, 3458 Neely RdMcGuire AFB, NJ 08641 · Phone (866) 377-2778 · Fax (609) 754-9223
Location 2606 Cross Keys RdSicklerville, NJ 08081-9513 · Phone (856) 237-1016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Ryan Patrick Physician Assistant 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.

PECOS PAC ID42662637
PECOS Enrollment IDI20251218001671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

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 Patrick's NPI number?

The NPI number for Kevin Patrick is 1306405931. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Kevin Patrick located?

Kevin Patrick practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2000.

What is Kevin Patrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kevin Patrick enrolled in Medicare?

Yes. Kevin Patrick 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.

Is Kevin Patrick affiliated with any hospitals?

According to CMS data, Kevin Patrick is affiliated with Northern Dutchess Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Patrick was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.