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

Kevin T Fogarty, MD

Individual provider Diagnostic Radiology Physician · NPI 1245221506

Kevin T Fogarty, MD is a Diagnostic Radiology in Scranton, Pennsylvania. Graduated from State University of Ny Upstate Medical University in 1986, 40 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
40
Trained at
State University of Ny Upstate Medical University
Licensed in
PA
In the registry since
2005
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

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone: (484) 884-4500
Fax: (570) 800-7529
Show map & directions

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

Additional practice locations (2)

  • 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 — (610) 402-8080
  • 5325 Northgate Dr, Bethlehem, PA 18017-9411 — (610) 691-8931

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD044115L (PA)

Record details

NPI number1245221506
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1986 (40 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Scranton