NPIMap

Individual provider Active NPI

Kristin Elizabeth Kean, M.D.

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1295116309
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT209283 Issued in PA
Practice address
3401 N Broad St
Zone B - Room 612
Philadelphia, PA 19140-5103
Phone
(215) 707-3187
NPI assigned
Jun 15, 2015
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT209283 PA Primary

Addresses

Primary practice location

3401 N Broad St
Zone B - Room 612
Philadelphia, PA 19140-5103

Mailing address

3401 North Broad Street
Zone B 7TH Floor
Philadelphia, PA 19140
Phone (267) 300-7787

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
I20190802001171 PA Practitioner - Obstetrics/Gynecology 5698002384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 436-1420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT209283PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Aug 5, 2024 Accepting new patients
HR Physician Services CurrentSince Jul 22, 2019 Accepting new patients
HR Physician Services CurrentSince Jul 22, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
HR Physician Services Obstetrics & Gynecology Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Aug 5, 2024 Accepting new patients
Geisinger Wyoming Valley Medical Center Past Accepting new patients
HR Physician Services Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3401 N Broad St
Fl 7
Philadelphia, PA 19140
Phone (215) 707-4545

3401 N Broad St
Rm 612
Philadelphia, PA 19140
Phone (215) 707-3187

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

525 Jamestown St
Philadelphia, PA 19128
Phone (215) 482-7970

735 Fitzwatertown Rd
Ste 4
Willow Grove, PA 19090
Phone (215) 914-4400

Interoperability endpoints

  • Direct secure messaging: kristin.kean.1@17399.direct.athenahealth.com

Organizations & group practices 10

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 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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1295116309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NORTH BROAD STREET",
            "address_2": "ZONE B 7TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "267-300-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "address_2": "ZONE B - ROOM 612",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAN",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT209283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.