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KEVIN GROUDAN MD
NPI 1841750429
Internal Medicine - Gastroenterology in New York, NY

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
518 E 20TH ST, NEW YORK, NY 10009(646) 682-3555 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2025, Mar 21, 2019 (2 updates tracked since 2019).

About Kevin Groudan Md NPPES

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

KEVIN GROUDAN MD (NPI 1841750429) is an individual gastroenterology provider in New York, New York, licensed in New York (330535) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841750429
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKEVIN GROUDANCredential: MD
Location Address518 E 20TH STNew York, NY 10009-8330
Mailing Address518 E 20th StNew York, NY 10009-8330 · (646) 682-3555
Phone(646) 682-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1841750429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 330535
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
518 E 20TH ST, New York, NY 10009
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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

Kevin Groudan Md 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 ID1658606587
PECOS Enrollment IDI20250717000009
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10009 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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 3

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

BRANDON RONALD KRATZ MD
Family Medicine
518 E 20TH ST
NEW YORK, NY 10009
New York County (646) 682-3555
DR. JONATHAN R CHEN
Family Medicine
518 E 20TH ST
NEW YORK, NY 10009
New York County (646) 682-3555
DR. SOPHIE MIRO FORTIER MD
Family Medicine
518 E 20TH ST
NEW YORK, NY 10009
New York County (646) 682-3555

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 Groudan's NPI number?

The NPI number for Kevin Groudan is 1841750429. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Kevin Groudan located?

Kevin Groudan practices at 518 E 20th St, New York, NY 10009. The listed phone number is (646) 682-3555.

What is Kevin Groudan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kevin Groudan enrolled in Medicare?

Yes. Kevin Groudan 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.

Is Kevin Groudan affiliated with any hospitals?

According to CMS data, Kevin Groudan is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Groudan was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.