KEVIN EDWARD JR. TODD (MD) – Pediatric Hematology & Oncology Physician, NPI 1073909958

KEVIN EDWARD JR. TODD (MD) is a healthcare provider. based in Virginia beach, Virginia. specializing in PEDIATRIC MEDICINE, HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 0101271650 (VA). The NPI Number for KEVIN EDWARD JR. TODD (MD) is 1073909958

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN EDWARD JR. TODD (MD)
NPI
1073909958
Phone
(757) 763-8413
Address
1701 DALWOOD MEWS
Enumeration Date
8 April 2015
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7576687007
Graduation Year
2015 (11 years ago)
PAC ID
8628378064
Group Practice PAC ID
5890788764
Professional Enrollment ID
I20210622002988
Address ID
VA235071910NO601XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

Provider Addresses for KEVIN EDWARD JR. TODD (MD)

  • 1701 DALWOOD MEWS

    VIRGINIA BEACH, VA 234554369

    Phone: (757) 763-8413

    Type: Mailing

  • 3333 BURNET AVE # 5012

    CINCINNATI, OH 45229

    Phone: (757) 668-9763

    Fax: (757) 668-9766

    Type: Location

  • 601 Childrens Ln

    Norfolk, VA 235071971

    Phone: (757) 668-2233

    Type: Location

  • 222 MULBERRY CT

    FORT THOMAS, KY 410718002

    Phone: (757) 763-8413

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: Genentech, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech, Inc.$19
View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210622002988IHematology/OncologyVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 23455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890788764View full group profile
NameSpecialtyState
-VA
Pediatric Medicine, Hematology/OncologyMD
-VA
Physician AssistantVA
-VA
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)VA
Emergency Medicine, Pediatric MedicineVA
Pediatric Medicine, Cardiovascular Disease (Cardiology)VA
-MD
Hospice/Palliative CareVA

Reviews

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Frequently asked questions

How is KEVIN EDWARD JR. TODD (MD) identified in CMS data?
CMS-hosted NPPES data lists KEVIN EDWARD JR. TODD (MD) with NPI 1073909958.
Is KEVIN EDWARD JR. TODD (MD) listed as active for patients and plans?
The listing shows KEVIN EDWARD JR. TODD (MD) as active in the NPI system.
What healthcare role does KEVIN EDWARD JR. TODD (MD) hold?
Scheduling teams often label KEVIN EDWARD JR. TODD (MD) under Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KEVIN EDWARD JR. TODD (MD)?
KEVIN EDWARD JR. TODD (MD)'s geographic hint is Virginia Beach, Virginia in our summary view.
Is the information about KEVIN EDWARD JR. TODD (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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