Individual provider Active NPI

Katelyn Ann Cundari, PA-C

  • Physician Assistant
  • Birdsboro, PA
National Provider Identifier
1235774985
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060988 Issued in PA
Practice address
258 E Benjamin Franklin Hwy
Birdsboro, PA 19508
Phone
(610) 288-2908
NPI assigned
Nov 16, 2019
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060988 PA Primary

Addresses

Primary practice location

258 E Benjamin Franklin Hwy
Birdsboro, PA 19508

Mailing address

258 Benjamin Franklin Hwy
Birdsboro, PA 19508

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001501 PA Practitioner - Physician Assistant 0648686253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

150 Farmington LN
Suite 4
Lancaster, PA 17601-6239
Phone (717) 431-7546

1950 St Rd
Suite 100
Bensalem, PA 19020-3749
Phone (215) 639-7546

258 Ben Franklin Hwy E
Birdsboro, PA 19508-8772
Phone (610) 288-2908

6 Hearthstone CT
Suite 200 203
Reading, PA 19606-3065
Phone (610) 288-2908

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as group
Quality
87.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060988PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minh Thieu, MD, PC PastSince Nov 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmatekovic@pennderm.emadirect.md

Organizations & group practices 2

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 6

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": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1235774985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BENJAMIN FRANKLIN HWY",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "19508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E BENJAMIN FRANKLIN HWY",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "19508",
            "telephone_number": "610-288-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDARI",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

Verify at the official NPI Registry.