Dr Ethan Kellogg, MD - Medicare Pediatrics in New York, NY

  1. Home
  2. Pediatrics
  3. NY
  4. New York
Dr Ethan Kellogg, MD is a medicare enrolled "Pediatrics" physician in New York, New York. His current practice location is 1901 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 423-6262.

Dr Ethan Kellogg is licensed to practice in New York (license number 299407) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467804229.

Contact Information

Dr Ethan Kellogg, MD
1901 1st Ave,
New York, NY 10029-7494
(212) 423-6262
Not Available

Map and Direction




Physician's Profile

Full NameDr Ethan Kellogg
GenderMale
SpecialityPediatrics
Location1901 1st Ave, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467804229
  • Provider Enumeration Date: 07/05/2016
  • Last Update Date: 08/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557692290
  • Enrollment ID: I20191011000479

Medical Identifiers

Medical identifiers for Dr Ethan Kellogg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467804229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 299407 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan Kellogg allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameMetropolitan Medical Practice Plan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan Kellogg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ethan Kellogg, MD
1677 Lexington Ave Apt 4e,
New York, NY 10029-4666

Ph: (585) 905-1974		Dr Ethan Kellogg, MD
1901 1st Ave,
New York, NY 10029-7494

Ph: (212) 423-6262

Reviews and Comments


Pediatrics Doctors in New York, NY

Dr. Robert Michael Lembo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 462 1st Ave, New York, NY 10016
Phone: 212-263-6425    
Dr. Sean Michael Bailey, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016
Phone: 212-263-7477    
Dr. Diana Trevas Fleisher,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-3293    Fax: 212-263-3522
Dr. Rajdeep K Saini, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15 Warren St, New York, NY 10007
Phone: 212-226-7666    Fax: 212-202-7988
Dr. Nooralam Ahmad Rai, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3959 Broadway # Chc701, New York, NY 10032
Phone: 212-305-5122    Fax: 212-305-6103
Deborah Valentine Shamsian, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 21 W 86th St, New York, NY 10024
Phone: 212-304-5800    
Kara Alex-ann Beliard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1468 Madison Ave, New York, NY 10029
Phone: 122-241-6936    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.