DR. ETHAN KELLOGG M.D.
NPI 1467804229
Pediatrics in New York, NY
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
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)
Dr. Ethan Kellogg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ethan Kellogg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
Sodus, NY 14551
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Rochester, NY 14617
- Reassigned Medicare billing, New York enrollment
- 1,442 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 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.
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
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 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.
Where is Ethan Kellogg located?
Ethan Kellogg practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-6262.
What is Ethan Kellogg's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ethan Kellogg enrolled in Medicare?
Yes. Ethan Kellogg is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ethan Kellogg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Kellogg reassigns Medicare benefits to 3 organizations: Metropolitan Medical Practice Plan PC (New York, NY), Rochester General Hospital (Sodus, NY) and The Unity Hospital Of Rochester (Rochester, NY). 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 Ethan Kellogg'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 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.
# Dr. Ethan Kellogg, M.D. · NPI 1467804229
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 5, 2016.
## Identity
- **NPI:** 1467804229 (Entity type: Individual)
- **Enumerated:** July 5, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 299407 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1901 1ST AVE, New York, NY 10029-7494
- **Phone:** (212) 423-6262
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY); Rochester General Hospital (NPI 1821163718, Sodus, NY); The Unity Hospital Of Rochester (NPI 1457395766, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1467804229) · Data from the CMS NPPES public registry.