COLIN DAVID KAVANAUGH MD
NPI 1841871241
Student in an Organized Health Care Education/Training Program in Belleville, WI

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment
1121 BELLWEST BLVD, BELLEVILLE, WI 53508(608) 424-3384(608) 424-6353 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Apr 16, 2021 (2 updates tracked since 2021).

About Colin David Kavanaugh Md NPPES

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

COLIN DAVID KAVANAUGH MD (NPI 1841871241) is an individual student in an organized health care education/training program in Belleville, Wisconsin and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1841871241
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLIN DAVID KAVANAUGHCredential: MD
Location Address1121 BELLWEST BLVDBelleville, WI 53508-9433
Mailing Address1121 Bellwest BlvdBelleville, WI 53508-9433 · (608) 424-3384 · Fax (608) 424-6353
Fax(608) 424-6353
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateApril 16, 2021
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1841871241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 77586 (WI)
1121 BELLWEST BLVD, Belleville, WI 53508

Secondary Practice Location 1

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

Accepted Insurance

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

Colin David Kavanaugh 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 ID3577964543
PECOS Enrollment IDI20230329000370
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

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.

Student in an Organized Health Care Education/Training Program
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Family Medicine
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Family Medicine
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Family Medicine
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Durable Medical Equipment & Medical Supplies
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Student in an Organized Health Care Education/Training Program
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Family Medicine
1121 BELLWEST BLVD
BELLEVILLE, WI 53508
Student in an Organized Health Care Education/Training Program
1121 BELLWEST BLVD
BELLEVILLE, WI 53508

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 Colin Kavanaugh's NPI number?

The NPI number for Colin Kavanaugh is 1841871241. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Colin Kavanaugh located?

Colin Kavanaugh practices at 1121 Bellwest Blvd, Belleville, WI 53508. The listed phone number is (608) 424-3384.

What is Colin Kavanaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colin Kavanaugh enrolled in Medicare?

Yes. Colin Kavanaugh 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.

What insurance does Colin Kavanaugh accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and Security Health Plan list Colin Kavanaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Colin Kavanaugh affiliated with any hospitals?

According to CMS data, Colin Kavanaugh is affiliated with Ssm Health St Mary's Hospital - Madison and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Colin Kavanaugh was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.