Kenneth Kleckner, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD442848 Issued in PA

Practice address

5501 Old York Rd
Einstein Medical Center - Philadelphia
Philadelphia, PA 19141-3018

Phone

(215) 456-6679

Fax

(215) 456-8502

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Emergency Department Services, LLCGroup PAC ID 0143124701, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Lititz Hospital, Lititz, PA, CCN 390068

Merit-based Incentive Payment System (MIPS)

Final score

93.46 of 100Reported as group

Quality

92.17

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkleckner293034@upmc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Health Emergency Department Services LLC

  • Emergency Medicine Physician
  • Harrisburg, PA
  • NPI 1487693404
  Medicare reassignment Care Compare group NPD
• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Lititz

  • Ambulatory Surgical Clinic/Center
  • Lititz, PA
  • NPI 1144755091

  Hospital

  Care Compare affiliation
• Upmc Lititz

  • General Acute Care Hospital
  • Lititz, PA
  • NPI 1285167916
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1003080623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "address_2": "SUITE 400",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087540697",
            "telephone_number": "800-528-0006",
            "fax_number": "732-349-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "EINSTEIN MEDICAL CENTER - PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-6679",
            "fax_number": "215-456-8502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437694",
            "country_code": "US",
            "telephone_number": "717-988-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLECKNER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "247889",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD442848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkleckner230104@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Highlands Dr",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin John Klatte, DMD
• Denise D Klauder, RN
• Deborah M Klawiter, BS
• KLC Wellness
• Matthew Jordan Klebanoff, MD
• Agnieszka A Kleczek, PH.D
• Amy Klein-Zimmerman, MD
• Alyssa Klein, MD, PHD
• Amelia Rocco Klein, DSW, LCSW, LMFT,BCD
• Eliot Max Klein, LPC, MT-BC

• Emergency Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.