Kathleen Mary Dougherty
NPI 1013621382ActiveIndividual· Student in an Organized Health Care Education/Training Program· Carmel, IN
Student in an Organized Health Care Education/Training Program in Carmel, Indiana, with an NPI issued in January 2023. Enrolled in Medicare as practitioner - physician assistant. Lists Albany Medical Center Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013621382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 10, 2023 |
| Last updated in NPPES | Jan 10, 2023 |
| Certified by provider | Jan 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliations
- Albany Medical Center HospitalAlbany, NY
- Columbia Memorial HospitalHudson, NY
Other Student in an Organized Health Care Education/Training Program providers in Carmel
- 1124465083
- 1982229555
- 1356046502
- 1366141970
- 1710797394
- 1972355295
- 1659909224
- 1245049204
- 1689480261
- 1154137867
- 1083420830
- 1467290593
All 44 Student in an Organized Health Care Education/Training Program providers in Carmel · All Student in an Organized Health Care Education/Training Program providers in Indiana