NPIMap

Individual provider Active NPI

Kimberly M Rauenzahn, DO

  • Family Medicine Physician
  • Reading, PA
National Provider Identifier
1235215567
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-013705 Issued in PA
Practice address
1903 Morgantown Rd
Reading, PA 19607
Phone
(610) 777-4040
Fax
(610) 777-5575
NPI assigned
Oct 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 OS-013705 PA Primary
Family Medicine Physician 207Q00000X OSO13705 PA

Addresses

Primary practice location

1903 Morgantown Rd
Reading, PA 19607

Mailing address

1903 Morgantown Rd
Reading, PA 19607
Phone (610) 777-4040

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
I20070717000012 PA Practitioner - Family Practice 9739288549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Group P CGroup PAC ID 1355247180, 105 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1903 Morgantown Rd
Reading, PA 19607-9620
Phone (510) 777-4040

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Wyomissing, PA, CCN 398035
  • Accentcare Home Health of Central Pennsylvania Home health agency, Elizabethtown, PA, CCN 398062
  • Enhabit Home Health Home health agency, Wyomissing, PA, CCN 398051
  • Patient Care Home health agency, Wyomissing, PA, CCN 397578
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-013705PAMDFamily Medicine Physician
OSO13705PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group, P.C. CurrentSince Apr 1, 2011 Accepting new patients
Img Nursing Home Care, P.C. Family Medicine CurrentSince Aug 8, 2022 Accepting new patients
Integrated Medical Group P C Family Medicine CurrentSince Apr 1, 2011 Accepting new patients
St. Joseph Medical Group Family Medicine Past Accepting new patients

Locations

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

48 Tunnel Rd
Ste 104
Pottsville, PA 17901
Phone (570) 622-5555

82 Tunnel Rd
Pottsville, PA 17901
Phone (570) 622-5455

1903 Morgantown Rd
Reading, PA 19607
Phone (610) 777-4040

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: krauenzahn@imgpc.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1235215567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 MORGANTOWN RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-4040",
            "fax_number": "610-777-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUENZAHN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-013705",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OSO13705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.