NPIMap

Individual provider Active NPI

Kevin Barry Wentland, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Hanover, PA
National Provider Identifier
1053383596
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS006658L Issued in PA
Practice address
3130 Grandview Rd BLDG a
Hanover, PA 17331-9134
Phone
(717) 316-2441
NPI assigned
Feb 7, 2006
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006658L PA
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS006658L PA Primary

Addresses

Primary practice location

3130 Grandview Rd BLDG a
Hanover, PA 17331-9134

Mailing address

2782 Heather Dr
York, PA 17402-8850
Phone (717) 741-2747

Other practice location 1

1500 Memory Lane Ext
York, PA 17402-9601
Phone (717) 757-5433

Other identifiers 1

IdentifierTypeStateIssuer
001198857MedicaidPA

Other names 1

  • K Barry Wentland Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwentland64552@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000875 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 6406754027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Oct 13, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Oct 13, 2021 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Homewood Living Plum Creek, Inc Past Accepting new patients
Memorial Enterprises Inc Family Medicine Past Accepting new patients
Hanover Opco LLC Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

3130 Grandview Rd
Bldg A
Hanover, PA 17331
Phone (717) 316-2441

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4000 Linglestown Rd
Linglestown, PA 17112
Phone (717) 231-8867

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

Interoperability endpoints

  • Direct secure messaging: kwentland307352@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1053383596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 HEATHER DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028850",
            "telephone_number": "717-741-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRANDVIEW RD BLDG A",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319134",
            "telephone_number": "717-316-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Memory Lane Ext",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029601",
            "country_code": "US",
            "telephone_number": "717-757-5433",
            "fax_number": "717-751-0967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTLAND",
        "first_name": "KEVIN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006658L",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS006658L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001198857",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwentland64552@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "3130 Grandview Rd Bldg A",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173319134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "K",
            "last_name": "WENTLAND",
            "middle_name": "BARRY",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.