Michael G. McKenna

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

25MA060033 Issued in NJ

Practice address

211 S Gulph Rd
King of Prussia, PA 19406-3112

Phone

(610) 382-5900

Fax

(610) 382-5919

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

Radiation Oncology

Education

University of Massachusetts Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Cost

67.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmckenna@imppllc.direct.varian.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.

• Alliance Physician Services, PC

  dba MidLantic Urology

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Bala Cynwyd, PA
  • NPI 1558889956

  Radiation Oncology

  NPD
• Alliance Physician Services, PC

  dba Associated Urologists of North Carolina

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD
• Alliance Physician Services, PC

  dba Associated Urologists of North Carolina

  • Urology Physician
  • Raleigh, NC
  • NPI 1639963531
  NPD (past)
• Robert Wood Johnson University Hospital at Hamilton

  dba RWJ OB GYN at Hamilton

  • Obstetrics & Gynecology Physician
  • Trenton, NJ
  • NPI 1720070469
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1073556528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063112",
            "telephone_number": "610-382-5900",
            "fax_number": "610-382-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA060033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7374704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McGonigle, M.S., CCC-SLP
• Jenna McGovern, MS, BCBA
• Lisa Anne McGovern, RN, FNP-C
• Brady McGuire, OT
• Kevin McHugh, BCBA, LBS
• Patrick J McKernan, O.D.
• Kristen McLaughlin, CRNP
• Jessica L McMahan, M.S.
• Devon McMahon
• Ryan McMillian, LMFT

• Radiation Oncology Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.