Individual provider Active NPI

Kem Yenal, MD

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1215913868
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD051919L Issued in PA
Practice address
1741 Frankford Ave
Suite 100a
Phila, PA 19125-2445
Phone
(215) 425-2424
Fax
(215) 425-0342
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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 MD051919L PA Primary

Addresses

Primary practice location

1741 Frankford Ave
Suite 100a
Phila, PA 19125-2445

Mailing address

PO Box 820933
Phila, PA 19182-0933
Phone (215) 425-2424

Other identifiers 11

IdentifierTypeStateIssuer
450479OtherPACOVENTRY HEALTH AMERICA
P00083356OtherPARAIL ROAD MEDICARE
30011521OtherPAKEYSTONE MERCY HEALTH
3041266OtherPAAETNA HMO
4602164OtherPAAEETNA PPO
0842407000OtherPAINDEPENDENCE BLUE CROSS
001540483MedicaidPA
15271OtherPABRAVO HEALTH
809776OtherPAHIGHMARK BLUE SHIELD
3Y7137OtherPAHEALTH NET
P00159973OtherPARAILROAD MEDICARE

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
I20040309001057 PA Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Pain ManagementPractitioner - Pediatric MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - General PracticePractitioner - Interventional Pain Management 5890683932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Interventional Pain Management, Osteopathic Manipulative Medicine, Pain Management
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Pennsylvania Physician Alliance, LLCGroup PAC ID 8325478662, 112 clinicians

Practice addresses (Care Compare)

561 Fairthorne Ave
Philadelphia, PA 19128-2412
Phone (215) 487-4000

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Family Medicine CurrentSince Jan 26, 2004 Accepting new patients
Temple Physician Inc. CurrentSince Jan 26, 2004 Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince May 23, 2022 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physicians Inc Family Medicine Past Accepting new patients

Locations

1755 W Macada Rd
Bethlehem, PA 18017
Phone (610) 936-9676

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

515 Pennsylvania Ave
Ste A
Fort Washington, PA 19034
Phone (215) 540-5408

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

561 Fairthorne Ave
Philadelphia, PA 19128
Phone (215) 487-4000

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

Interoperability endpoints

  • Direct secure messaging: kem.yenal.1@27249.direct.athenahealth.com

Organizations & group practices 5

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1215913868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-425-2424",
            "fax_number": "215-425-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 FRANKFORD AVE",
            "address_2": "SUITE 100A",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191252445",
            "telephone_number": "215-425-2424",
            "fax_number": "215-425-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENAL",
        "first_name": "KEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051919L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH AMERICA",
            "identifier": "450479",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00083356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH",
            "identifier": "30011521",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3041266",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AEETNA PPO",
            "identifier": "4602164",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0842407000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001540483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "15271",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "809776",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Y7137",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00159973",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.