KEVIN MCKENNA M.D.
NPI 1902253933
Pediatrics in Bronx, NY

Active since May 19, 2016PECOS Enrolled
1225 GERARD AVE, BRONX, NY 10452(844) 692-4692 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2022, May 19, 2016 (2 updates tracked since 2016).

About Kevin Mckenna M.d. NPPES

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

KEVIN MCKENNA M.D. (NPI 1902253933) is an individual pediatrics provider in Bronx, New York, licensed in New York (298135) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902253933
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKEVIN MCKENNACredential: M.D.
Location Address1225 GERARD AVEBronx, NY 10452-8015
Mailing Address1225 Gerard AveBronx, NY 10452-8015 · (844) 692-4692
Sole ProprietorYes
Enumeration DateMay 19, 2016
Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1902253933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 298135
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.
1225 GERARD AVE, Bronx, NY 10452

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Mckenna 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Mckenna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1225 GERARD AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 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 10452 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Clinic/Center
1225 GERARD AVE
BRONX, NY 10452
Pharmacist
1225 GERARD AVE
BRONX, NY 10452
Midwife
1225 GERARD AVE, MORRISANIA D&TC
BRONX, NY 10452
Pediatrics
1225 GERARD AVE
BRONX, NY 10452
Religious Nonmedical Nursing Personnel
1225 GERARD AVE, MORRISANIA
BRONX, NY 10452
Social Worker
1225 GERARD AVE
BRONX, NY 10452
Social Worker
1225 GERARD AVE
BRONX, NY 10452
Pediatrics
1225 GERARD AVE
BRONX, NY 10452

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 Mckenna's NPI number?

The NPI number for Kevin Mckenna is 1902253933. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Kevin Mckenna located?

Kevin Mckenna practices at 1225 Gerard Ave, Bronx, NY 10452. The listed phone number is (844) 692-4692.

What is Kevin Mckenna's specialty?

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

Is Kevin Mckenna enrolled in Medicare?

Yes. Kevin Mckenna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Mckenna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mckenna reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Bronx, NY) and Montefiore Medical Center (Bronx, 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 Kevin Mckenna'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 Mckenna was last updated on September 6, 2022. 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.