Individual provider Active NPI

Mark Bennet Kahn, MD

  • Vascular Surgery Physician
  • Wyndmoor, PA
National Provider Identifier
1003863937
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD-032411-E Issued in PA
Practice address
8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038-7976
Phone
(215) 836-5120
Fax
(215) 248-8989
NPI assigned
May 27, 2006
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD-032411-E PA Primary

Addresses

Primary practice location

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038-7976

Mailing address

6601 Springbank St
Philadelphia, PA 19119-3712
Phone (215) 849-0667

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061006000167 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 0547266090 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-032411-EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Metro Physicians Specialty Group, P.C. CurrentSince May 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Jefferson University Physicians Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients
Minimally Invasive Care Institute of Lehigh Valley LLC Vascular Surgery PastSince May 25, 2021 Accepting new patients
Vascular Diagnostic Center PC Vascular Surgery Past Accepting new patients

Locations

3450 High Point Blvd
Ste 200
Bethlehem, PA 18017
Phone (484) 896-9880

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

700 S Henderson Rd
Ste 225
King of Prussia, PA 19406
Phone (484) 403-1818

252 S 4th St
#2
Lebanon, PA 17042
Phone (717) 270-3751

252 S 4th St
Fl 2
Lebanon, PA 17042
Phone (717) 270-3751

139 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 423-9708

2808 N 5th Street Hwy
Reading, PA 19605
Phone (610) 266-7644

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1003863937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SPRINGBANK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193712",
            "telephone_number": "215-849-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "STE 2",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-836-5120",
            "fax_number": "215-248-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "MARK",
        "middle_name": "BENNET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD-032411-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

Verify at the official NPI Registry.