Individual provider Active NPI

Kevin McCabe, DO

  • Family Medicine Physician
  • Coatesville, PA
National Provider Identifier
1265738801
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015775 Issued in PA
Practice address
744 E Lincoln Hwy
Suite 110
Coatesville, PA 19320-3590
Phone
(610) 380-4660
Fax
(610) 380-4664
NPI assigned
Jan 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 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 OS015775 PA Primary

Addresses

Primary practice location

744 E Lincoln Hwy
Suite 110
Coatesville, PA 19320-3590

Mailing address

2600 W 9TH St
2 North
Chester, PA 19013-2040
Phone (610) 485-3800

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
I20120522001197 PA Practitioner - Family Practice 3870756257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

154 Exton Square Mall
Exton, PA 19341-2440
Phone (484) 565-8500

1991 Sproul Rd
Suite 600
Broomall, PA 19008-3517
Phone (484) 421-1669

450 Cresson Blvd
Phoenixville, PA 19460-6145

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015775PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chespenn Health Services CurrentSince Feb 28, 2020 Accepting new patients
Chespenn Health Services CurrentSince Feb 28, 2020 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Jun 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1991 Sproul Rd
Ste 625
Broomall, PA 19008
Phone (484) 421-1669

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

2600 W 9th St
#2N
Chester, PA 19013

744 E Lincoln Hwy
Ste 110
Coatesville, PA 19320
Phone (610) 380-4660

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 1

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": "1296345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1265738801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "address_2": "2 NORTH",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-485-3800",
            "fax_number": "610-485-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HWY",
            "address_2": "SUITE 110",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203590",
            "telephone_number": "610-380-4660",
            "fax_number": "610-380-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-30",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.