JOHN KEVIN FITZPATRICK (M.D.) – Obstetrics & Gynecology Physician, NPI 1831176148
Obstetrics & Gynecology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,231 OBSTETRICS/GYNECOLOGY in MA
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Provider Addresses for JOHN KEVIN FITZPATRICK (M.D.)
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
BOSTON, MA 021094806
Phone:
Type: Mailing
Ivy Realty Group, 40, Holland Street, Davis Square, Somerville, Middlesex County, Massachusetts, 02144, United States
SOMERVILLE, MA 021442705
Phone: (617) 629-6330
Fax: (617) 629-6128
Type: Location
6511 Spring Brook Ave
Rhinebeck, NY 125723709
Phone: (845) 876-3001
Type: Location
34 Maple St
Norwalk, CT 068503894
Phone: (716) 601-5419
Type: Location
64 GRANDVIEW ACRES RD
PHOENICIA, NY 124645301
Phone: (716) 601-5419
Type: Mailing
45 READE PL
POUGHKEEPSIE, NY 126013947
Phone: (716) 601-5419
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050322001024 | I | Obstetrics/Gynecology | NY | TBD |
| I20190702002234 | I | Obstetrics/Gynecology | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Physician Assistant | NY | |
| Internal Medicine | NY | |
| - | NY | |
| Internal Medicine | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Diagnostic Radiology | NY | |
| - | VA | |
| - | NY | |
| A N E S T H E S I O L O G Y | NY |
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