Dr Kevin M Kavanaugh, MD - Medicare Interventional Cardiology in Spokane, WA

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Dr Kevin M Kavanaugh, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Spokane, Washington. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1983 and has 42 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Kootenai Health Inc, St Joseph Hospital Llc and his current practice location is 122 W 7th Ave, Suite 310, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 838-7711.

Dr Kevin M Kavanaugh is licensed to practice in Washington (license number MD00031738) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205889433.

Contact Information

Dr Kevin M Kavanaugh, MD
122 W 7th Ave, Suite 310,
Spokane, WA 99204-2349
(509) 838-7711
(509) 747-4664

Map and Direction




Physician's Profile

Full NameDr Kevin M Kavanaugh
GenderMale
SpecialityInterventional Cardiology
Experience42 Years
Location122 W 7th Ave, Spokane, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin M Kavanaugh attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1983
  NPI Data:
  • NPI Number: 1205889433
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5698764744
  • Enrollment ID: I20120124000763

Medical Identifiers

Medical identifiers for Dr Kevin M Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205889433NPI-NPPES
003213300MedicaidID
MD00031738OtherWAWASHINGTON LICENSE
M6627OtherIDIDAHO LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology MD00031738 (Washington)Primary
207RC0000XInternal Medicine - Cardiovascular Disease MD31738 (Washington)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M-6627 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
Clearwater Valley Hospital & ClinicsOrofino, IDHospital
Syringa General HospitalGrangeville, IDHospital
St Marys Hospital And ClinicsCottonwood, IDHospital
Gritman Medical CenterMoscow, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Health Inc1355792276382
St Joseph Hospital Llc832532580646

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 Kevin M Kavanaugh allows following entities to bill medicare on his behalf.
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameBoundary Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801896683
PECOS PAC ID: 3274583406
Enrollment ID: O20050126000312
Entity NameSt Joseph Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205368404
PECOS PAC ID: 8325325806
Enrollment ID: O20170606002496
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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 Kevin M Kavanaugh 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 Kevin M Kavanaugh, MD
122 W 7th Ave, Suite 310,
Spokane, WA 99204-2349

Ph: (509) 838-7711		Dr Kevin M Kavanaugh, MD
122 W 7th Ave, Suite 310,
Spokane, WA 99204-2349

Ph: (509) 838-7711

Reviews and Comments


Internal Medicine Doctors in Spokane, WA

Ms. Deirdre Marie Mooney, MD, MPH
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Phone: 509-455-8820    
Dr. Rebecca Raluca Teona Muntean, M.D.
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Dr. Joseph W Davis, M.D.
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Practice Location: 104 W 5th Ave Ste 200w, Spokane, WA 99204
Phone: 509-744-3750    Fax: 509-744-3969
Jeffrey Todd Kilcup, DO
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Practice Location: 624 E Front Ave, Spokane, WA 99202
Phone: 509-626-9900    Fax: 509-626-9917
John G Peterson, MD, FACC
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Medicare: Accepting Medicare Assignments
Practice Location: 212 E Central Ave, Suite 240, Spokane, WA 99208
Phone: 509-455-8820    Fax: 509-838-4978

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.