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DR. KEVIN CONNOLLY M.D.
NPI 1841633948
Radiology - Diagnostic Radiology in Templeton, CA

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
1310 LAS TABLAS RD STE 103, TEMPLETON, CA 93465(805) 461-7080 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2021, Aug 10, 2021, Aug 7, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Kevin Connolly M.d. NPPES

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

DR. KEVIN CONNOLLY M.D. (NPI 1841633948) is an individual diagnostic radiology provider in Templeton, California, licensed in California (A134205) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1841633948
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KEVIN CONNOLLYCredential: M.D.
Location Address1310 LAS TABLAS RD STE 103Templeton, CA 93465-9746
Mailing Address1 Quality DrVacaville, CA 95688-9494 · (707) 624-4000
Phone(805) 461-7080
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateDecember 22, 20215 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1841633948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A134205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10046400 (TX)
1310 LAS TABLAS RD STE 103, Templeton, CA 93465
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11959 NE Pacific St University Of WashingtonSeattle, WA 98195-1930 · Phone (206) 598-1454
Location 2601 E 15th St, UT Southwestern Austin Internal MedicineAustin, TX 78701-1930 · Phone (512) 324-8355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Connolly 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 ID4284998063
PECOS Enrollment IDI20190830000547
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 Billing Reassignment

Medicare enrollment records show Kevin Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
142 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
40 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93465 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
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 3

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

RADIOLOGY ASSOCIATES OF SAN LUIS OBISPO, A MEDICAL GROUP INC
Radiology (Diagnostic Radiology)
1310 LAS TABLAS RD STE 103
TEMPLETON, CA 93465
San Luis Obispo County (805) 461-7080
DR. TIMOTHY LU M.D.
Radiology (Diagnostic Radiology)
1310 LAS TABLAS RD STE 103
TEMPLETON, CA 93465
San Luis Obispo County (805) 461-7080
MICHAEL ANTHONY REBURN MD
Radiology (Diagnostic Radiology)
1310 LAS TABLAS RD STE 103
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0829

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 Connolly's NPI number?

The NPI number for Kevin Connolly is 1841633948. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Kevin Connolly located?

Kevin Connolly practices at 1310 Las Tablas Rd Ste 103, Templeton, CA 93465. The listed phone number is (805) 461-7080.

What is Kevin Connolly's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kevin Connolly enrolled in Medicare?

Yes. Kevin Connolly 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.

Which organization bills Medicare for Kevin Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Connolly reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Kevin Connolly'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 Kevin Connolly was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.