NPIMap

Individual provider Active NPI

Karrie L. Kiskaddon, MD

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1255549796
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD434624 Issued in PA
Practice address
100 Meadow LN
Suite 4
Du Bois, PA 15801-2460
Phone
(814) 371-3730
Fax
(814) 371-9335
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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 MT187193 PA
Family Medicine Physician 207Q00000X MD434624 PA Primary

Addresses

Primary practice location

100 Meadow LN
Suite 4
Du Bois, PA 15801-2460

Mailing address

PO Box 447
Du Bois, PA 15801-0447
Phone (814) 371-3730

Other identifiers 1

IdentifierTypeStateIssuer
102087381MedicaidPA

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
I20080829000445 PA Practitioner - Family Practice 4284700147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

100 Meadow LN
Suite 4
Du Bois, PA 15801-2460
Phone (814) 375-0600

123 Hospital Ave
Du Bois, PA 15801-1409
Phone (814) 371-1510

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

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Saint Marys, PA, CCN 397028
  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • Penn Highlands Community Nurses Hospice, Saint Marys, PA, CCN 391562
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD434624PAMDFamily Medicine Physician
MT187193PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Family Medicine CurrentSince Nov 18, 2015 Accepting new patients
Brookville Hospital Family Medicine CurrentSince Nov 18, 2015 Accepting new patients
Elk Regional Health Center Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Elk Regional Health Center CurrentSince Nov 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 22, 2008 Accepting new patients
Dubois Regional Medical Center Family Medicine CurrentSince Jul 22, 2008 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

100 Meadow Ln
Ste 4
Dubois, PA 15801
Phone (814) 371-3730

621 S Main St
#Q
Dubois, PA 15801
Phone (814) 299-7520

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

123 Hospital Ave
Dubois, PA 15801
Phone (814) 371-1510

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

65 Developac Rd
Dubois, PA 15801
Phone (814) 371-3730

416 N Broad St
Emporium, PA 15834
Phone (814) 486-2202

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • Direct secure messaging: klkiskaddon@1285.direct.myezyaccess.com

Organizations & group practices 7

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1255549796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-371-3730",
            "fax_number": "814-371-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEADOW LN",
            "address_2": "SUITE 4",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012460",
            "telephone_number": "814-371-3730",
            "fax_number": "814-371-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISKADDON",
        "first_name": "KARRIE",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT187193",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD434624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102087381",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.