Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin J Kriesel, MD

Individual provider Otolaryngology Physician · NPI 1720093883

Kevin J Kriesel, MD is an Otolaryngology in Watertown, New York. Graduated from University of Texas Southwestern Medical School at Dallas in 1997, 29 years ago. Practices with Samaritan Medical Center, a 158-clinician group and accepts Medicare assignment. Licensed in New York, Pennsylvania and Texas.

Years since qualifying
29
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
NY, PA, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

826 Washington St Fl 3
Watertown, NY 13601-4064
Phone: (315) 788-1751
Fax: (315) 788-9021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 329201 (NY)
Otolaryngology Physician Taxonomy 207Y00000X · Licence MD457864 (PA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence L3721 (TX)

Record details

NPI number1720093883
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1997 (29 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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