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DR. CATHERINE ROSE KAVANAGH M.D.
NPI 1447697784
Pediatrics - Pediatric Nephrology in New York, NY

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3959 BROADWAY, CHN 11TH FLOOR ROOM 1115, NEW YORK, NY 10032(212) 305-5824(212) 342-0518 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2020, Aug 14, 2018 (2 updates tracked since 2018).

About Dr. Catherine Rose Kavanagh M.d. NPPES

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

DR. CATHERINE ROSE KAVANAGH M.D. (NPI 1447697784) is an individual pediatric nephrology provider in New York, New York, licensed in New York (286906) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2013).

NPPES Registry Identity

NPI1447697784
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. CATHERINE ROSE KAVANAGHCredential: M.D.
Location Address3959 BROADWAY, CHN 11TH FLOOR ROOM 1115New York, NY 10032
Mailing Address3959 Broadway Rm 1115New York, NY 10032-1559 · (212) 305-5825
Phone(212) 305-5824
Fax(212) 342-0518
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateJune 5, 20202 updates tracked since enumeration
NPPES CertifiedJune 5, 2020
✔ NPI 1447697784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NY · 286906
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
3959 BROADWAY, New York, NY 10032
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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

Dr. Catherine Rose Kavanagh M.d. 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 ID1153607981
PECOS Enrollment IDI20170411000784
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

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 Catherine Kavanagh's NPI number?

The NPI number for Catherine Kavanagh is 1447697784. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Catherine Kavanagh located?

Catherine Kavanagh practices at 3959 Broadway Chn 11th Floor Room 1115, New York, NY 10032. The listed phone number is (212) 305-5824.

What is Catherine Kavanagh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Catherine Kavanagh enrolled in Medicare?

Yes. Catherine Kavanagh 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.

When was this NPI record last updated?

The NPPES record for Catherine Kavanagh was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.