Individual provider Active NPI

Kenneth J. Veit, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1104827286
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003642L Issued in PA
Practice address
4190 City Line Ave
Philadelphia, PA 19131-1626
Phone
(215) 871-6380
Fax
(215) 871-6381
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003642L PA Primary

Addresses

Primary practice location

4190 City Line Ave
Philadelphia, PA 19131-1626

Mailing address

4190 City Line Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6910

Other identifiers 2

IdentifierTypeStateIssuer
071716E7HOtherPAMEDICARE
0812650MedicaidPA

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
I20040227000091 PA Practitioner - Family Practice 3173422763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia College of Osteopathic MedicineGroup PAC ID 0648179234, 30 clinicians

Practice addresses (Care Compare)

4190 City Ave
Suite 315
Philadelphia, PA 19131-1633
Phone (215) 871-6384

4190 City Line Ave
Philadelphia, PA 19131-1626

4190 City Line Ave
Philadelphia, PA 19131-1633

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
69.85
Promoting interoperability
54
Improvement activities
40
Cost
75.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS003642LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia College of Osteopathic Medicine Family Medicine CurrentSince Sep 1, 1990 Accepting new patients
Philadelphia College of Osteopathic Medicine Past Accepting new patients
Public Health Management Corporation PastSince Jan 1, 1988 Accepting new patients

Locations

4190 City Line Ave
Ste 315
Philadelphia, PA 19131
Phone (215) 871-6337

4148 Lancaster Ave
Philadelphia, PA 19104
Phone (215) 662-0119

2100 W Cambria St
Philadelphia, PA 19132
Phone (215) 578-3300

4190 City Line Ave
Ste 777
Philadelphia, PA 19131
Phone (215) 871-6380

4190 City Line Ave
Philadelphia, PA 19131
Phone (215) 871-6100

5830 Henry Ave
Philadelphia, PA 19128
Phone (215) 483-2300

4190 City Line Ave
Ste 100
Philadelphia, PA 19131
Phone (215) 871-6380

Interoperability endpoints

  • Direct secure messaging: kenneth.veit@direct.pcom.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Temple Health - Chestnut Hill HospitalPhiladelphia, PA, CCN 390026 Hospital Corporate Director Jan 1, 2023
Temple Health - Chestnut Hill HospitalPhiladelphia, PA, CCN 39S026 Hospital Corporate Director Jan 1, 2023
Philadelphia Health Management CorporationPhiladelphia, PA, CCN 391953 Federally qualified health center Corporate Director (5%) Jan 1, 1988
Philadelphia Health Management CorporationPhiladelphia, PA, CCN 391954 Federally qualified health center Corporate Director Mar 7, 2006
Philadelphia Health Management CorporationPhiladelphia, PA, CCN 391965 Federally qualified health center Corporate Director Oct 16, 2006
Philadelphia Health Management CorporationPhiladelphia, PA, CCN 391989 Federally qualified health center Corporate Director (5%) Jan 1, 1988
Philadelphia Health Management CorporationPhiladelphia, PA, CCN 391068 Federally qualified health center Corporate Director Jan 1, 1988
Public Health Management CorporationPhiladelphia, PA, CCN 731808 Federally qualified health center Corporate Director Jan 1, 1988
PHMC Health Center on Cedar AvenuePhiladelphia, PA, CCN 731950 Federally qualified health center Corporate Director Jan 1, 1988

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1104827286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY LINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6910",
            "fax_number": "215-871-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY LINE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6380",
            "fax_number": "215-871-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEIT",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "071716E7H",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812650",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.