Active NPI
Lisa B Kanehann, MD
- Diagnostic Radiology Physician
- Media, PA
National Provider Identifier
1295714186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD040854E
- Practice address
- 1068 W Baltimore Pike
Media, PA 19063 - Phone
- (610) 891-3388
- Fax
- (610) 891-3680
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD040854E | PA | Primary |
Addresses
Primary practice location
1068 W Baltimore Pike
Media, PA 19063
Mailing address
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 891-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD040854E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of the Main Line P C | Diagnostic Radiology | Past | Accepting new patients |
| Main Line Health Imaging LP | Diagnostic Radiology | Past | Accepting new patients |
| Riddle Imaging Assoc | Diagnostic Radiology | Past | Accepting new patients |
| Kamal B. Russell MD PC | Diagnostic Radiology | Past | Accepting new patients |
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.
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- Diagnostic Radiology Physician
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- NPI 1750332003
-
- Diagnostic Radiology Physician
- Media, PA
- NPI 1013073469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295714186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-891-3388",
"fax_number": "610-891-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 W BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "610-891-3388",
"fax_number": "610-891-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANEHANN",
"first_name": "LISA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD040854E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.