KATHLEEN ENNABI MD
NPI 1427040708
Pediatrics in Hopewell Junction, NY
About Kathleen Ennabi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ENNABI MD (NPI 1427040708) is an individual pediatrics provider in Hopewell Junction, New York, licensed in New York (234314) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through March 26, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Ennabi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Ennabi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hawthorne, NY 10532
- Reassigned Medicare billing, New York enrollment
- 511 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2243453
Kathleen Ennabi MD Boston Children's Health Physicians · Hopewell Junction, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12533 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ennabi's NPI number?
The NPI number for Kathleen Ennabi is 1427040708. It was assigned to this individual provider in the NPPES registry on August 22, 2005.
Where is Kathleen Ennabi located?
Kathleen Ennabi practices at 2529 Route 52 Suite 3, Hopewell Junction, NY 12533. The listed phone number is (845) 227-0123.
What is Kathleen Ennabi's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kathleen Ennabi enrolled in Medicare?
Yes. Kathleen Ennabi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Ennabi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Ennabi reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). 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 Kathleen Ennabi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Kathleen Ennabi hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2243453) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kathleen Ennabi was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Ennabi, MD · NPI 1427040708
Pediatrics physician in Hopewell Junction, New York. Individual provider, active in the CMS NPPES registry since August 22, 2005.
## Identity
- **NPI:** 1427040708 (Entity type: Individual)
- **Enumerated:** August 22, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 234314 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2529 ROUTE 52, SUITE 3, Hopewell Junction, NY 12533-3247
- **Phone:** (845) 227-0123 · **Fax:** (845) 227-0345
## 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:** Boston Children's Health Physicians, LLP (NPI 1467454967, Hawthorne, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427040708) · Data from the CMS NPPES public registry.