DR. ETHAN KELLOGG M.D.
NPI 1467804229
Pediatrics in New York, NY

Q: What is Ethan Kellogg's NPI number?

The NPI number for Ethan Kellogg is 1467804229. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Q: What is Ethan Kellogg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Kellogg was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 05, 2016PECOS Enrolled

1901 1ST AVE, NEW YORK, NY 10029(212) 423-6262 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Ethan Kellogg M.d. NPPES

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

DR. ETHAN KELLOGG M.D. (NPI 1467804229) is an individual pediatrics provider in New York, New York, licensed in New York (299407) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467804229

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ETHAN KELLOGGCredential: M.D.

Location Address1901 1ST AVENew York, NY 10029-7494

Mailing Address1677 Lexington Ave Apt 4eNew York, NY 10029-4666 · (585) 905-1974

Phone(212) 423-6262

Sole ProprietorYes

Enumeration DateJuly 5, 2016

Last NPPES UpdateAugust 7, 2019

✔ NPI 1467804229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 299407

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1901 1ST AVE, New York, NY 10029

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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 (PECOS)

Dr. Ethan Kellogg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KENNETH BOMPAROLA PA

Physician Assistant